NPIMap

Individual provider Active NPI

Robert Pelham Taylor, M.D.

  • Family Medicine Physician
  • Waynesboro, VA
National Provider Identifier
1235179516
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101057041 Issued in VA
Practice address
428 S Magnolia Ave
Waynesboro, VA 22980-3629
Phone
(540) 949-8241
Fax
(540) 949-5582
NPI assigned
Jun 7, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101057041 VA Primary
Adult Medicine Physician 207QA0505X 200100795 NC

Addresses

Primary practice location

428 S Magnolia Ave
Waynesboro, VA 22980-3629

Mailing address

428 S Magnolia Ave
Waynesboro, VA 22980-3629
Phone (540) 949-8241

Other identifiers 2

IdentifierTypeStateIssuer
129RJMedicaidNC
89129RJMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtaylor77368@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101057041VAMDFamily Medicine Physician
200100795NCMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Medical Associates, PA PastSince Sep 1, 1998 Accepting new patients
Unc Physicians Network LLC Family Medicine Past Accepting new patients
Louisburg Hma Physician Management, LLC Family Medicine Past Accepting new patients
Eastern Medical Associates, PA Family Medicine Past Accepting new patients
Vance-Warren Comprehensive Health Plan, Inc. Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rtaylor77368@direct.carilionclinic.org

Organizations & group practices 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1235179516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S MAGNOLIA AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803629",
            "telephone_number": "540-949-8241",
            "fax_number": "540-949-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S MAGNOLIA AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803629",
            "telephone_number": "540-949-8241",
            "fax_number": "540-949-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROBERT",
        "middle_name": "PELHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101057041",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "200100795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129RJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129RJ",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtaylor77368@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rtaylor77368@direct.carilionclinic.org",
            "address_1": "428 S Magnolia Ave",
            "city": "Waynesboro",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229803629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.