Active NPI
John Gregory Taylor, D.O.
- Cardiovascular Disease Physician
- Roanoke, VA
National Provider Identifier
1033606181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0102209834
- Practice address
- 2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465 - Phone
- (540) 982-8204
- Fax
- (540) 224-1059
- NPI assigned
- Apr 15, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | RI | ||
| Cardiovascular Disease Physician | 207RC0000X | 0102209834 | VA | Primary |
Addresses
Primary practice location
2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-2365
Other practice location 2
1924 Alcoa Hwy # U-114
Knoxville, TN 37920-1511
Phone (865) 305-6324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
213 S Jefferson St
Suite 1006
Roanoke, VA 24011-1713
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102209834 | VA | MD | Cardiovascular Disease Physician |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1033606181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW STE 203",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142465",
"telephone_number": "540-982-8204",
"fax_number": "540-224-1059"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-793-2365",
"fax_number": "401-444-4165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1924 Alcoa Hwy # U-114",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379201511",
"country_code": "US",
"telephone_number": "865-305-6324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "JOHN",
"middle_name": "GREGORY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-15",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "RI",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0102209834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.