Individual provider Active NPI

George T Taylor IV, MD

  • Family Medicine Physician
  • Paoli, PA
National Provider Identifier
1083855514
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD069500L Issued in PA
Practice address
250 W Lancaster Ave Ste 120
Paoli, PA 19301-1798
Phone
(610) 644-8069
Fax
(610) 644-6736
NPI assigned
Mar 12, 2009
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD069500L PA Primary

Addresses

Primary practice location

250 W Lancaster Ave Ste 120
Paoli, PA 19301-1798

Mailing address

250 W Lancaster Ave Ste 120
Paoli, PA 19301-1798
Phone (610) 644-8069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000495 PA Practitioner - Family Practice 7618025867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paoli Family MedicineGroup PAC ID 8325022759, 10 clinicians

Practice addresses (Care Compare)

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1798
Phone (610) 644-8069

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD069500LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paoli Family Medicine Family Medicine CurrentSince Jul 1, 2013 Accepting new patients

Locations

250 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-8069

Interoperability endpoints

  • Direct secure messaging: george.taylor@pfmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEDBA/Endpoint/AFEDBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1083855514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011798",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011798",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GEORGE",
        "middle_name": "T",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD069500L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.