Active NPI
John L. Taylor, Jr., M.D., PA
- Gynecology Physician
- Thomasville, GA
National Provider Identifier
1184671265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 015693
- Legal business name
- JOHN L. TAYLOR, JR., M.D., PA
- Doing business as
- Plantation Gynecology
- Practice address
- 814 Gordon Avenue
Thomasville, GA 31792 - Phone
- (229) 225-9805
- Fax
- (229) 225-9915
- NPI assigned
- May 27, 2006
- Organization subpart
- Yes
- Parent organization
- JOHN L. TAYLOR, JR., M.D., PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl R Sumner
- Title
- Office Manager
- Phone
- (229) 225-9929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 015693 | GA | Primary |
Addresses
Primary practice location
814 Gordon Avenue
Thomasville, GA 31792
Mailing address
814 Gordon Avenue
Thomasville, GA 31792
Phone (229) 225-9805
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000269882B | Medicaid | GA | |
| 9624285 | Other | GA | SOUTHCARE |
| 21168656803 | Other | GA | GREAT WEST HEALTHCARE |
| 672327 | Other | GA | BCBS |
| 257723363 | Other | GA | CHAMPUS/TRICARE |
| 257723363 | Other | GA | 1ST MEDICAL NETWORK |
| 656597 | Other | GA | UNITED HEALTHCARE |
| 9624285 | Other | GA | CIGNA |
Other names 1
- Plantation Gynecology
National Provider Directory
National Provider Directory- Part of
- John Taylor MD
Locations
814 Gordon Ave
Thomasville, GA 31792
Phone (229) 225-9805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251158400000",
"number": "1184671265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 GORDON AVENUE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "31792",
"telephone_number": "229-225-9805",
"fax_number": "229-225-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 GORDON AVENUE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "31792",
"telephone_number": "229-225-9805",
"fax_number": "229-225-9915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN L. TAYLOR, JR., M.D., PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOHN L. TAYLOR, JR., M.D., PA",
"enumeration_date": "2006-05-27",
"last_updated": "2009-08-25",
"status": "A",
"authorized_official_last_name": "SUMNER",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "229-225-9929"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "015693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000269882B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHCARE",
"identifier": "9624285",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "21168656803",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "672327",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "257723363",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1ST MEDICAL NETWORK",
"identifier": "257723363",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "656597",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9624285",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Plantation Gynecology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thomasville, GA
- John D. Archbold Memorial Hospital, Inc.
- John D. Archbold Memorial Hospital, Inc.
- John D. Archbold Memorial Hospital, Inc.
- John D. Archbold Memorial Hospital, Inc.
- John D. Archbold Memorial Hospital, Inc.
- Frederick Dwayne Johnson Jr., M.D.
- Jerry Steven Johnson, M.D.
- Kaila Nicole Johnson, PHARMD
- Marlin S Johnson, D.M.D.
- Michael Johnson, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.