Individual provider Active NPI

Taylor Elizabeth Chesser, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1235966524
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN308541 Issued in GA
Practice address
1701 Boulevard SQ
Waycross, GA 31501-8021
Phone
(912) 387-0445
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN308541 GA Primary

Addresses

Primary practice location

1701 Boulevard SQ
Waycross, GA 31501-8021

Mailing address

41371 Old Dixie Hwy
Folkston, GA 31537-7919
Phone (904) 874-0141

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828000332 GA Practitioner - Nurse Practitioner 4789185166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKinney Medical Center IncGroup PAC ID 3173432226, 13 clinicians

Practice addresses (Care Compare)

218 Quarterman St
Waycross, GA 31501-3547
Phone (912) 287-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN308541GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
McKinney Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
McKinney Medical Center Inc Past Accepting new patients

Locations

501 N Pierce St
Alma, GA 31510
Phone (912) 632-0872

3919 Main St
Folkston, GA 31537
Phone (912) 496-3426

3913 Main St
Folkston, GA 31537
Phone (912) 496-0826

711 Charles Gilman Jr Ave
Ste B
Kingsland, GA 31548
Phone (912) 510-9728

9355 Main St S
Nahunta, GA 31553
Phone (912) 462-6222

218 Quarterman St
Waycross, GA 31501
Phone (912) 287-0301

300 Uvalda St
Waycross, GA 31501
Phone (912) 287-0360

935 McDonald St
Waycross, GA 31501
Phone (912) 285-5080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBCAA/Endpoint/CEBCAA

Organizations & group practices 3

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1235966524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41371 OLD DIXIE HWY",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315377919",
            "telephone_number": "904-874-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BOULEVARD SQ",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315018021",
            "telephone_number": "912-387-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESSER",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN308541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.