Active NPI
Thomas K Taylor, MD
- Obstetrics & Gynecology Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME72088
- Practice address
- 125 Astaire MNR
Fayetteville, GA 30214-5362 - Phone
- (404) 661-8858
- NPI assigned
- Oct 25, 2005
- Last updated
- Mar 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME72088 | FL | Primary |
| Obstetrics Physician | 207VX0000X | 033121 | GA |
Addresses
Primary practice location
125 Astaire MNR
Fayetteville, GA 30214-5362
Mailing address
125 Astaire MNR
Fayetteville, GA 30214-5362
Phone (404) 661-8858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003668200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Brody School of Medicine at East Carolina University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4795 Fulton Industrial Blvd SW
Suite F
Atlanta, GA 30336-2000
Phone (404) 267-5700
688 Spring St NW
Atlanta, GA 30308-1934
Phone (404) 881-1155
755 Lawrenceville Suwanee Rd
Suite 1600
Lawrenceville, GA 30043-7345
Phone (770) 995-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033121 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| Cait Care Providers PLLC | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Guard Healthcare Systems LLC | Past | Accepting new patients | |
| Wellstar Northwest Women's Care, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Smoky Mountain Home Health & Hospice, Inc | Past | Accepting new patients |
Locations
3848 Fau Blvd
Ste 305
Boca Raton, FL 33431
Phone (561) 455-3627
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
600 E Rosedale St
Ste 125
Fort Worth, TX 76104
Phone (682) 207-3598
Organizations & group practices 11
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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1710168117
GA
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1114685708
-
- Obstetrics Physician
- Ybor City, FL
- NPI 1164118667
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Dalton, GA
- NPI 1750194197
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba WellStar Northwest Women's Care
- Obstetrics & Gynecology Physician
- Marietta, GA
- NPI 1184920233
-
- Obstetrics & Gynecology Physician
- Marietta, GA
- NPI 1669429759
-
- Physiological Laboratory
- Arlington, TX
- NPI 1437797610
-
- Home Health Agency
- Newport, TN
- NPI 1972583235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1164412771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 ASTAIRE MNR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302145362",
"telephone_number": "404-661-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ASTAIRE MNR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302145362",
"telephone_number": "404-661-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME72088",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "GA",
"license": "033121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003668200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.