Active NPI
Kelley L Taylor, MD
- Anatomic Pathology & Clinical Pathology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 42108
- Practice address
- 225B Winton M Blount Loop
Montgomery, AL 36117-3507 - Phone
- (334) 623-6228
- Fax
- (334) 265-9136
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 42108 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 42108 | TN | Primary |
Addresses
Primary practice location
225B Winton M Blount Loop
Montgomery, AL 36117-3507
Mailing address
225B Winton M Blount Loop
Montgomery, AL 36117-3507
Phone (334) 623-6228
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3403473 | Medicaid | TN | |
| 00789049A | Medicaid | GA | |
| 00119533 | Medicaid | MS | |
| 1540854 | Medicaid | LA | |
| 3790378800 | Medicaid | LA | |
| 009801160 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Pathology
- Education
- University of Alabama School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-3830
900 Camp Auburn Rd
Auburn, AL 36832-4672
Phone (334) 528-6685
900 Camp Auburn Rd
Suite 300
Auburn, AL 36832-4746
Phone (334) 528-1156
Hospital & facility affiliations
- The East Alabama Healthcare Authority
- Dale Medical Center
- Eamc - Lanier
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.26 of 100
- Quality
- 78.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42108 | TN | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| The East Alabama Health Care Authority | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
503 E Thomason Cir
Opelika, AL 36801
Phone (334) 749-8234
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
- https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/
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.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1073685483
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Community/Retail Pharmacy
- Opelika, AL
- NPI 1215089305
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ozark, AL
- NPI 1942380357
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
-
- General Acute Care Hospital
- Valley, AL
- NPI 1780235002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1124241336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225B WINTON M BLOUNT LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173507",
"telephone_number": "334-623-6228",
"fax_number": "334-265-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225B WINTON M BLOUNT LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173507",
"telephone_number": "334-623-6228",
"fax_number": "334-265-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KELLEY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "TN",
"license": "42108",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "42108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3403473",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00789049A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119533",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1540854",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3790378800",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009801160",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.