Individual provider Active NPI

Taylor Mayhue Beall, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1154029494
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN286505 Issued in GA
Practice address
101 Gateway Drive
Macon, GA 31210
Phone
(478) 210-1670
Fax
(478) 210-5813
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN286505 GA Primary

Addresses

Primary practice location

101 Gateway Drive
Macon, GA 31210

Mailing address

101 Gateway Drive
Macon, GA 31210
Phone (478) 210-1670

Other names 1

  • Ms. Taylor Mary Elizabeth Mayhue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907003188 GA Practitioner - Nurse Practitioner 3274997382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabriel Primary CareGroup PAC ID 5294197265, 7 clinicians

Practice addresses (Care Compare)

101 Gateway Dr
Macon, GA 31210-1141
Phone (478) 378-0829

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN286505GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel Primary Care CurrentSince Jun 8, 2023 Accepting new patients

Locations

101 Gateway Dr
Macon, GA 31210
Phone (478) 210-1670

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHJADD/Endpoint/BHJADD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1154029494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GATEWAY DRIVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-210-1670",
            "fax_number": "478-210-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GATEWAY DRIVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-210-1670",
            "fax_number": "478-210-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALL",
        "first_name": "TAYLOR",
        "middle_name": "MAYHUE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN286505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MAYHUE",
            "middle_name": "MARY ELIZABETH",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.