Individual provider Active NPI

Steven K. Taylor, O.D.

  • Optometrist
  • Hampton, GA
National Provider Identifier
1235299736
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001061 Issued in GA
Practice address
1492 Wildwood Way
Hampton, GA 30228-2678
Phone
(404) 788-1369
Fax
(770) 471-8759
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001061 GA Primary

Addresses

Primary practice location

1492 Wildwood Way
Hampton, GA 30228-2678

Mailing address

1492 Wildwood Way
Hampton, GA 30228-2678
Phone (404) 788-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721000878 GA Practitioner - Optometry 8729204110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1061GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Depoe Eye Center PC Optometrist CurrentSince May 16, 2014 Accepting new patients

Locations

1030 13th St
Columbus, GA 31901
Phone (706) 327-3937

1498 Merchants Dr
Dallas, GA 30132
Phone (770) 445-2715

681 S 8th St
Griffin, GA 30224
Phone (770) 228-2020

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

5451 Bowman Rd
Ste 420
Macon, GA 31210
Phone (478) 741-3960

110 Southpoint Blvd
McDonough, GA 30253
Phone (770) 228-2020

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1235299736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 WILDWOOD WAY",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302282678",
            "telephone_number": "404-788-1369",
            "fax_number": "770-471-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 WILDWOOD WAY",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302282678",
            "telephone_number": "404-788-1369",
            "fax_number": "770-471-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEVEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

Verify at the official NPI Registry.