MRS. SHANNON JOHNSON YOUNGER PA-C
NPI 1164961629
Physician Assistant - Medical in Columbus, MS
NPI Status: Active since February 16, 2017
Contact Information
724 LEIGH DR
COLUMBUS, MS
ZIP 39705
Phone: (662) 328-3375
Fax: (662) 328-3395
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About SHANNON YOUNGER
This page provides the complete NPI Profile along with additional information for Shannon Younger, a primary care provider established in Columbus, Mississippi with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1164961629 assigned on February 2017. The practitioner's primary taxonomy code is 363AM0700X with license number PA9110198 (FL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1164961629
- Provider Name
- MRS. SHANNON JOHNSON YOUNGER PA-C
- Other Name
- MRS. SHANNON LUPE JOHNSON PA-C
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 724 LEIGH DR COLUMBUS, MS 39705
- Location Phone
- (662) 328-3375
- Location Fax
- (662) 328-3395
- Mailing Address
- 724 LEIGH DR COLUMBUS, MS 39705
- Mailing Phone
- (662) 328-3375
- Mailing Fax
- (662) 328-3395
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-16-2017
- Last Update Date
- 04-24-2020
- Code Navigator
A primary care provider (PCP) like Shannon Younger sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 724 Leigh Dr
Columbus, MS 39705
(662) 328-3375 - 321 University Dr
Starkville, MS 39759
(662) 323-5377
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA9110198
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA00395 | OTHER (01) | MS | MISSISSIPPI PA CERTIFICATE |
| PA9110198 | OTHER (01) | FL | 59-2455010 |
Medicare Participation & PECOS Enrollment Status
Shannon Younger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MRS. SHANNON JOHNSON YOUNGER PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 9 | 6 | 1 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 18 | 6 | 2 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 8 + 6 + 2 + 6 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1164961629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871513721 | DR. BETHANY HAIRSTON M.D. Individual | Dermatology | 724 LEIGH DR COLUMBUS, MS 39705 (662) 328-3375 |
| 1376670570 | KALA WHITE WILSON CFNP Individual | Nurse Practitioner (Family) | 724 LEIGH DR COLUMBUS, MS 39705 (662) 328-3375 |
| 1073820338 | MRS. STEPHANIE MICHELLE BEASLEY FNP Individual | Nurse Practitioner (Family) | 724 LEIGH DR COLUMBUS, MS 39705 (662) 328-3375 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164961629, enumerated in the NPI registry as an "individual" on February 16, 2017
The provider is located at 724 Leigh Dr Columbus, Ms 39705 and the phone number is (662) 328-3375
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on February 16, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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