Individual provider Active NPI

Thomas K Taylor, MD

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
National Provider Identifier
1164412771
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME72088 Issued in FL
Practice address
125 Astaire MNR
Fayetteville, GA 30214-5362
Phone
(404) 661-8858
NPI assigned
Oct 25, 2005
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003668200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080422000426 GA Practitioner - Obstetrics/Gynecology 7911961933 Reassigns benefits to 1 organization
I20110621000531 FL Practitioner - Obstetrics/Gynecology 7911961933 Reassigns benefits to 1 organization
I20250421002058 TX Practitioner - Preventive MedicinePractitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 7911961933 Reassigns benefits to 1 organization

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
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

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

LicenseStateTypeSpecialty
033121GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Cait Care Providers PLLC CurrentSince Feb 3, 2025 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
American Current Care P.a. CurrentSince Jun 9, 2025 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. CurrentSince Jun 9, 2025 Accepting new patients
Wellstar Medical Group, LLC Obstetrics & Gynecology Past Accepting new patients
Guard Healthcare Systems LLC PastSince Feb 3, 2025 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.

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

Verify at the official NPI Registry.