Active NPI
Marvin Eugene Taylor, MD, MPH
- Preventive Medicine/Occupational Environmental Medicine Physician
- Robins Afb, GA
National Provider Identifier
1003814674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- ME 61695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 61695 | FL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 23203 | IA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 036-067569 | IL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 4301045156 | MI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 42459 | MN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| R5D22 | MO | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 15984 | OK | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 25725-020 | WI | MD | Preventive 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.