Caitlin C Young (NPI# 1669989000, PAC ID# 8921359779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669989000 |
| PAC ID by PECOS | 8921359779 |
| Professional Enrollment ID | I20180918003699 |
| Full Name | Caitlin C Young |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Address |
105 Grand Central Blvd Suite 107 Pooler GA 31322-4148 |
| Phone Number | 9127481999 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719978105 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110024 | CANDLER HOSPITAL |
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| Address | Phone | Organization |
|---|---|---|
| 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4148 | 9127481999 | SJC MEDICAL GROUP, INC |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harley Randall Hendrix | Family Medicine | Sjc Medical Group, Inc | 159 W Railroad St, Pembroke, GA 31321-0190 |
| Matthew G Marshall | Neurology | Sjc Medical Group, Inc | 410 Mall Blvd E, Savannah, GA 31406-4869 |
| Aaron Webb | Nurse Practitioner | Sjc Medical Group, Inc | 423 S Columbia Ave, Rincon, GA 31326-9080 |
| David Orlando Caraballo | Physician Assistant | Sjc Medical Group, Inc | 10 Oak Forest Rd C, Bluffton, SC 29910-4974 |
| Keith A Rouse Sr. | Podiatry | Sjc Medical Group, Inc | 310 Eisenhower Dr, Bldg 7a, Savannah, GA 31406-2688 |
| Russell William Lake | Family Medicine | Sjc Medical Group, Inc | 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4148 |
| Jose M Rendon-garcia | Internal Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Marianne M Fleming | Internal Medicine | Sjc Medical Group, Inc | 836 E, 65th Suite 30, Savannah, GA 31405 |
| Richard J Barrett | Internal Medicine | Sjc Medical Group, Inc | 102 Bryan Woods Rd, Savannah, GA 31410-1225 |
| Frederic C Spector | Podiatry | Sjc Medical Group, Inc | 352 Commercial Dr, Savannah, GA 31406-3616 |
| Street Address |
105 GRAND CENTRAL BLVD SUITE 107 |
| City | POOLER |
| State | GA |
| Zip | 31322-4148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell William Lake | Family Medicine | Sjc Medical Group, Inc | 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4148 |
| Melissa Catherine Keller | Optometry | Myeyedr Optometry of Georgia, LLC | 105 Grand Central Blvd, Suite 110, Pooler, GA 31322-4148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric William Spreeman | Occupational Therapy | Tattnall Hospital Company LLC | 101 W Mulberry Blvd, Suite 140, Pooler, GA 31322 |
| Wayne Depaz | Chiropractic | 1017 Us Hwy 80 E 17, Pooler, GA 31322 | |
| Dawn Hostetter Macmillan | Qualified Audiologist | 410s W Hwy 80, Pooler, GA 31322 | |
| Nicholas Theodotou | Oral Surgery | 506 Us Hwy 80 W, Pooler, GA 31322-2104 | |
| Preston L Peacock | Chiropractic | 408 Us Hwy 80 Sw, Pooler, GA 31322-2541 | |
| Thomas Henry Bombery | Chiropractic | 122 Canal St, Suite 109, Pooler, GA 31322-4015 | |
| Thomas F Danello | Emergency Medicine | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Patricia B Butler | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Janet D Ohara | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Angela C Wooley | Nurse Practitioner | St Josephs Candler Urgent Care Centers LLC | 107 Canal St, Pooler, GA 31322-4016 |
| Find all physicians in zip 31322 | |||
| City | POOLER |
| Zip Code | 31322 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | POOLER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Caitlin C Young.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.