NPIMap

Organization Active NPI

J. Andre Taylor, M.D., LLC

  • Family Medicine Physician
  • Sheffield, AL
National Provider Identifier
1245306380
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12828 Issued in AL
Legal business name
J. ANDRE TAYLOR, M.D., LLC
Practice address
1100 S Montgomery Ave
Sheffield, AL 35660-6330
Phone
(256) 381-8200
Fax
(256) 383-6753
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Jack Andre Taylor, M.D.
Title
President
Phone
(256) 381-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 12828 AL Primary

Addresses

Primary practice location

1100 S Montgomery Ave
Sheffield, AL 35660-6330

Mailing address

1100 S Montgomery Ave
Sheffield, AL 35660-6330
Phone (256) 381-8200

Other identifiers 3

IdentifierTypeStateIssuer
DA3810OtherALRAILRROAD MEDICARE
051554360TAYMedicaidAL
051554360TAYOtherALBCBS OF ALABAMA

National Provider Directory

National Provider Directory

Locations

1100 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 381-6321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1245306380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606330",
            "telephone_number": "256-381-8200",
            "fax_number": "256-383-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606330",
            "telephone_number": "256-381-8200",
            "fax_number": "256-383-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ANDRE TAYLOR, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-381-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRROAD MEDICARE",
            "identifier": "DA3810",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554360TAY",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "051554360TAY",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.