LISA ANN YOUNG (DO) – Family Medicine Physician, NPI 1043446222

LISA ANN YOUNG (DO) is a healthcare provider. based in Moultrie, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 88683 (GA). The NPI Number for LISA ANN YOUNG (DO) is 1043446222

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LISA ANN YOUNG (DO)
NPI
1043446222
Phone
(229) 985-2198
Address
3 Sweet Bay Ct
Enumeration Date
2 June 2009
Last Update Date
5 October 2021

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
60596477240515
Graduation Year
2009 (17 years ago)
PAC ID
8426205139
Group Practice PAC ID
7517852759
Professional Enrollment ID
I20140129000606
Address ID
SD576251022EA24276RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for LISA ANN YOUNG (DO)

  • 3 Sweet Bay Ct

    Moultrie, GA 317686784

    Phone: (229) 985-2198

    Type: Location

  • 3131 S Main St

    Moultrie, GA 317686925

    Phone: (229) 985-3420

    Type: Location

  • PO BOX 860

    WHITERIVER IHS

    WHITERIVER, AZ 85941

    Phone: (928) 338-4911

    Fax: (928) 338-5508

    Type: Mailing

  • Whiteriver Indian Hospital, 200, West Hospital Drive, Whiteriver, Navajo County, Arizona, 85941, United States

    WHITERIVER IHS

    WHITERIVER, AZ 85941

    Phone: (928) 338-4911

    Fax: (928) 338-5508

    Type: Location

  • 1 MAGNOLIA CT

    MOULTRIE, GA 317686764

    Phone: (229) 502-9769

    Fax: (928) 338-5508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140129000606IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99238Hospital discharge day management, 30 minutes or less2119$0
View full utilization report →

Insurance plans in this area (ZIP 31768)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517852759View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
Nurse PractitionerSD
Family PracticeMI
-GA
-TX
Diagnostic RadiologyPA
Endocrinology, Internal MedicineWA
Diagnostic RadiologyMN
Diagnostic RadiologyOK
-SD

Reviews

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Frequently asked questions

Can I cross-check LISA ANN YOUNG (DO) using NPI 1043446222?
NPI 1043446222 belongs to LISA ANN YOUNG (DO); compare other details if you need extra assurance.
Would LISA ANN YOUNG (DO) appear as active to a payer?
You can treat LISA ANN YOUNG (DO) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LISA ANN YOUNG (DO)?
At a glance, LISA ANN YOUNG (DO) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA ANN YOUNG (DO)?
Directory geography for LISA ANN YOUNG (DO) centers on Moultrie, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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