Individual provider Active NPI

Mark Allen Taylor Jr., NP

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1154912913
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28902 Issued in TN
Practice address
3443 Dickerson Pike Ste 190
Nashville, TN 37207-2533
Phone
(615) 301-8269
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28902 TN
Nurse Practitioner 363L00000X 28902 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 190
Nashville, TN 37207-2533

Mailing address

3443 Dickerson Pike Ste 680
Nashville, TN 37207-2537
Phone (615) 865-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210507001659 TN Practitioner - Nurse Practitioner 7113336942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Tennessee Pulmonary Associates LLCGroup PAC ID 8628090958, 10 clinicians

Practice addresses (Care Compare)

5651 Frist Blvd
Suite 213
Hermitage, TN 37076-2056
Phone (615) 250-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28902TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Pulmonary Associates, LLC Family CurrentSince Apr 1, 2023 Accepting new patients

Locations

5651 Frist Blvd
Ste 213
Hermitage, TN 37076
Phone (615) 250-6900

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

3443 Dickerson Pike
Ste 680
Nashville, TN 37207
Phone (615) 865-3322

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 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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1154912913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 680",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072537",
            "telephone_number": "615-865-3322",
            "fax_number": "615-467-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 190",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072533",
            "telephone_number": "615-301-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28902",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.