Organization Active NPI

John L. Taylor, Jr., M.D., PA

  • Gynecology Physician
  • Thomasville, GA
National Provider Identifier
1184671265
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
015693 Issued in GA
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., PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000269882BMedicaidGA
9624285OtherGASOUTHCARE
21168656803OtherGAGREAT WEST HEALTHCARE
672327OtherGABCBS
257723363OtherGACHAMPUS/TRICARE
257723363OtherGA1ST MEDICAL NETWORK
656597OtherGAUNITED HEALTHCARE
9624285OtherGACIGNA

Other names 1

  • Plantation Gynecology Doing business as

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

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.

Verify at the official NPI Registry.