Taylor Hairston, DO
Individual provider Active NPI Family Medicine Physician · Gulfport, MS
NPI 1255950416 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1255950416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 30119 (MS)
- Practice address
- 15190 Community Rd
Gulfport, MS 39503-3485 - Phone
- (228) 220-5200
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 64
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ochsner Mississippi, LLC
Practice addresses (Care Compare)
1721 Medical Park Dr
Biloxi, MS 39532-2109
Phone (228) 207-0601
Hospital & facility affiliations
- Deaconess Homecare- Region I
- Ochsner Medical Center-Hancock
- Ochsner Medical Center Acute
- Singing River Gulfport
- Memorial Hospital at Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231121001727 | MS | Practitioner - Family Practice | 7315361326 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Mississippi, LLC | Current |
Accepting new patients | |
| Ochsner Mississippi, LLC | Single Specialty | Current |
Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
1721 Medical Park Dr
Biloxi, MS 39532
Phone (228) 207-0601
Interoperability endpoints
- thairston864441@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 30119 | MS | Yes |
Addresses
Primary practice location
15190 Community Rd
Gulfport, MS 39503-3485
Mailing address
15190 Community Rd
Gulfport, MS 39503-3485
Phone (228) 220-5200
Other providers in Gulfport, MS
- Hage Family Dentistry
- Laurence Matthew Hage
- Philip John Hage
- Rose Ann Hagood
- Heather Elizabeth Hailey
- David Charles Halberg
- Erin Hale
- Marcella A Hale
- Shanon Renee Hale
- Anita Charlene Hall
All providers in Gulfport, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.