JEFF P YOUNG MD PA
NPI 1184959082
Dermatology in Texarkana, TX
About Jeff P Young Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF P YOUNG MD PA (NPI 1184959082) is a healthcare organization registered as a dermatology in Texarkana, Texas and active in the NPI registry since October 2009. The organization lists Jeff P Young, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeff P Young Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeff P Young MD PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jeff P Young MD PA's NPI number?
The NPI number for Jeff P Young MD PA is 1184959082. It was assigned to this organization in the NPPES registry on October 9, 2009.
Where is Jeff P Young MD PA located?
Jeff P Young MD PA is located at 2011 Moores Ln, Texarkana, TX 75503. The listed phone number is (903) 792-2777.
What is Jeff P Young MD PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jeff P Young MD PA enrolled in Medicare?
Yes. Jeff P Young MD PA is registered in the Medicare PECOS enrollment system.
When is Jeff P Young MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jeff P Young MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jeff P Young MD PA, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jeff P Young MD PA was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# Jeff P Young Md Pa · NPI 1184959082
Dermatology organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since October 9, 2009.
## Identity
- **NPI:** 1184959082 (Entity type: Organization)
- **Enumerated:** October 9, 2009
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Jeff Young, OWNER
## Practice location
- **Address:** 2011 MOORES LN, Texarkana, TX 75503-1841
- **Phone:** (903) 792-2777 · **Fax:** (903) 794-6728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1184959082) · Data from the CMS NPPES public registry.