CHRISTIAN DEAN YOUNG
NPI 1154940856
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since April 13, 2020PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-5604 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christian Dean Young NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN DEAN YOUNG (NPI 1154940856) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1154940856
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTIAN DEAN YOUNG
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5604
Sole ProprietorNo
Enumeration DateApril 13, 2020
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1154940856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 32651 (MS)
2500 N STATE ST, Jackson, MS 39216

Secondary Practice Location 1

Location 1415 S 28th AveHattiesburg, MS 39401-7246 · Phone (601) 268-5800 · Fax (601) 261-3530

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)

Christian Dean Young is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Nurse Practitioner
2500 N STATE ST
JACKSON, MS 39216
Neurological Surgery
2500 N STATE ST, N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
2500 N STATE ST
JACKSON, MS 39216

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 Christian Young's NPI number?

The NPI number for Christian Young is 1154940856. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Christian Young located?

Christian Young practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5604.

What is Christian Young's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christian Young enrolled in Medicare?

Yes. Christian Young is registered in the Medicare PECOS enrollment system.

What insurance does Christian Young accept?

Health plans from Molina Healthcare and UnitedHealthcare list Christian 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 Christian Young was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.