| Dr Geraldine Q Young, CFNP | |
|
1573 Jane St, Greenville, MS 38703-7843 | |
| (601) 941-7181 | |
| (601) 941-7181 |
| Full Name | Dr Geraldine Q Young |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1573 Jane St, Greenville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952339335 | NPI | - | NPPES |
| 05933790 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R861956 (Mississippi) | Primary |
| Entity Name | Delta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
| Entity Name | G A Carmichael Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801952809 PECOS PAC ID: 2567371032 Enrollment ID: O20050816001055 |
| Entity Name | Maxem Health Urgent Care Flowood |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174070650 PECOS PAC ID: 9335429422 Enrollment ID: O20161207000648 |
| Entity Name | Maxem Health Urgent Care Mccomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235619479 PECOS PAC ID: 6305181959 Enrollment ID: O20181231000649 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Entity Name | J R Young Health Equity Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649983388 PECOS PAC ID: 2668834870 Enrollment ID: O20230818001760 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Geraldine Q Young, CFNP Po Box 3939, Greenville, MS 38704-3939 Ph: (601) 941-7181 | Dr Geraldine Q Young, CFNP 1573 Jane St, Greenville, MS 38703-7843 Ph: (601) 941-7181 |
Mrs. Chasity Ann Sheppeard, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Highway 1 S Ste A, Greenville, MS 38701 Phone: 623-351-1103 Fax: 662-335-8746 | |
Kristen Cassidy Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-355-4105 | |
James A Ray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 | |
Ms. Marilyn D Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 E Starling St Ste A, Greenville, MS 38701 Phone: 662-378-8868 Fax: 662-378-8462 | |
Mrs. Tammy White Burton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1462 Highway 1 S, Greenville, MS 38701 Phone: 662-702-5121 | |
Barbara P Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-344-9100 Fax: 662-344-9120 | |
Marshalvia Bryant, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1221 E Union St, Greenville, MS 38703 Phone: 731-394-1145 |