MARIETTA GRACE YOUNG
NPI 1871122580
Internal Medicine in Jackson, MS
About Marietta Grace Young NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIETTA GRACE YOUNG (NPI 1871122580) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (T-4084) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marietta Grace Young is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marietta Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39216
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 Marietta Young's NPI number?
The NPI number for Marietta Young is 1871122580. It was assigned to this individual provider in the NPPES registry on April 4, 2020.
Where is Marietta Young located?
Marietta Young practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5601.
What is Marietta Young's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Marietta Young enrolled in Medicare?
Yes. Marietta Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marietta Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marietta Young reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The 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 Marietta Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marietta Young accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Marietta 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 Marietta Young was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Marietta Grace Young · NPI 1871122580
Internal Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 4, 2020.
## Identity
- **NPI:** 1871122580 (Entity type: Individual)
- **Enumerated:** April 4, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** T-4084 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871122580) · Data from the CMS NPPES public registry.