Individual provider Active NPI

Marvin Eugene Taylor, MD, MPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Robins Afb, GA
National Provider Identifier
1003814674
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
ME 61695 Issued in FL
Practice address
655 7TH St
78TH MDG/Amds/Sgpfo, BLDG 207
Robins Afb, GA 31098-2227
Phone
(478) 327-7578
Fax
(478) 327-7678
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 036-067569 IL
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 23203 IA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 4301045156 MI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 42459 MN
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X R5D22 MO
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 15984 OK
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 25725-020 WI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X ME 61695 FL Primary

Addresses

Primary practice location

655 7TH St
78TH MDG/Amds/Sgpfo, BLDG 207
Robins Afb, GA 31098-2227

Mailing address

655 7TH St
78TH MDG/Amds/Sgpfo, BLDG 207
Robins Afb, GA 31098-2227
Phone (478) 327-7578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 61695FLMDPreventive Medicine/Occupational Environmental Medicine Physician
23203IAMDPreventive Medicine/Occupational Environmental Medicine Physician
036-067569ILMDPreventive Medicine/Occupational Environmental Medicine Physician
4301045156MIMDPreventive Medicine/Occupational Environmental Medicine Physician
42459MNMDPreventive Medicine/Occupational Environmental Medicine Physician
R5D22MOMDPreventive Medicine/Occupational Environmental Medicine Physician
15984OKMDPreventive Medicine/Occupational Environmental Medicine Physician
25725-020WIMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1003814674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 7TH ST",
            "address_2": "78TH MDG/AMDS/SGPFO, BLDG 207",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-7578",
            "fax_number": "478-327-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST",
            "address_2": "78TH MDG/AMDS/SGPFO, BLDG 207",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-7578",
            "fax_number": "478-327-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARVIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IL",
            "license": "036-067569",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IA",
            "license": "23203",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "4301045156",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MN",
            "license": "42459",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MO",
            "license": "R5D22",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "OK",
            "license": "15984",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WI",
            "license": "25725-020",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME 61695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins Afb, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.