MAKEDA TIYE YOUNG PA-C
NPI 1003631904
Physician Assistant - Surgical in Concord, NC
About Makeda Tiye Young Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAKEDA TIYE YOUNG PA-C (NPI 1003631904) is an individual surgical provider in Concord, North Carolina, licensed in North Carolina (001014623) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Makeda Tiye Young Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Makeda Young's NPI number?
The NPI number for Makeda Young is 1003631904. It was assigned to this individual provider in the NPPES registry on November 18, 2024.
Where is Makeda Young located?
Makeda Young practices at 200 Medical Park Dr Ste 430, Concord, NC 28025. The listed phone number is (704) 403-7070.
What is Makeda Young's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Makeda Young enrolled in Medicare?
Yes. Makeda Young is registered in the Medicare PECOS enrollment system.
What insurance does Makeda Young accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Makeda Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Makeda Young was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Makeda Tiye Young, PA-C · NPI 1003631904
Surgical physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since November 18, 2024.
## Identity
- **NPI:** 1003631904 (Entity type: Individual)
- **Enumerated:** November 18, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 001014623 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 MEDICAL PARK DR STE 430, Concord, NC 28025-0939
- **Phone:** (704) 403-7070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003631904) · Data from the CMS NPPES public registry.