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YOUNG FAMILY PRACTICE
NPI 1417940636
Family Medicine in Statesville, NC

Active since August 23, 2005
509 BROOKDALE DR, YOUNG FAMILY PRACTICE, STATESVILLE, NC 28677(704) 924-7992(704) 924-7950 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Young Family Practice NPPES

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

YOUNG FAMILY PRACTICE (NPI 1417940636) is a healthcare organization registered as a family medicine in Statesville, North Carolina and active in the NPI registry since August 2005. The organization lists Lewis S Thorp, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1417940636
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Location Address509 BROOKDALE DR, YOUNG FAMILY PRACTICEStatesville, NC 28677-4107
Mailing Address509 Brookdale Dr, Young Family PracticeStatesville, NC 28677-4107 · (704) 924-7992 · Fax (704) 924-7950
Phone(704) 924-7992
Fax(704) 924-7950
Organization SubpartNo
Authorized OfficialLewis S ThorpPresident Ceo · (336) 659-5116
Enumeration DateAugust 23, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417940636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
509 BROOKDALE DR, Statesville, NC 28677
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Other Names 1

Doing Business AsYoung Family Practice

Other Identifiers 1

Medicaid89015T3NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wake Forest University Baptist Medical Center Community Physicians's NPI number?

The NPI number for Wake Forest University Baptist Medical Center Community Physicians is 1417940636. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Young Family Practice.

Where is Wake Forest University Baptist Medical Center Community Physicians located?

Wake Forest University Baptist Medical Center Community Physicians is located at 509 Brookdale Dr Young Family Practice, Statesville, NC 28677. The listed phone number is (704) 924-7992.

What is Wake Forest University Baptist Medical Center Community Physicians's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wake Forest University Baptist Medical Center Community Physicians was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.