Active NPI
Duane Taylor
- Specialist
- Smyrna, GA
National Provider Identifier
1063614626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- NOT LICESED STATE AT
- Practice address
- 5158 Afton Way SE
Smyrna, GA 30080-2669 - Phone
- (404) 993-2082
- NPI assigned
- Jun 4, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NOT LICESED STATE AT | NU | Primary |
Addresses
Primary practice location
5158 Afton Way SE
Smyrna, GA 30080-2669
Mailing address
5158 Afton Way SE
Smyrna, GA 30080-2669
Phone (770) 210-5795
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063614626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5158 AFTON WAY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802669",
"telephone_number": "770-210-5795",
"fax_number": "770-210-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5158 AFTON WAY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802669",
"telephone_number": "404-993-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DUANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": "NOT LICESED STATE AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.