Active NPI
Taylor Todd, PAC
- Physician Assistant
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11961
- Practice address
- 1200 Lower Fayetteville Rd Ste B
Newnan, GA 30265-1133 - Phone
- (678) 631-4610
- Fax
- (678) 631-4611
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11961 | GA | Primary |
Addresses
Primary practice location
1200 Lower Fayetteville Rd Ste B
Newnan, GA 30265-1133
Mailing address
1200 Lower Fayetteville Rd Ste B
Newnan, GA 30265-1133
Phone (678) 631-4610
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1260 Hwy 54 W
Suite 103
Fayetteville, GA 30214-4525
Phone (770) 486-7000
218 Hospital Dr
Suite C
Blairsville, GA 30512-3143
Phone (855) 841-1337
550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2246
Phone (855) 841-1337
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.05 of 100
- Quality
- 39.8
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11961 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Interoperability endpoints
- taylor.todd@ud.eclinicaldirectplus.com
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1295193399
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1306533864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LOWER FAYETTEVILLE RD STE B",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651133",
"telephone_number": "678-631-4610",
"fax_number": "678-631-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LOWER FAYETTEVILLE RD STE B",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651133",
"telephone_number": "678-631-4610",
"fax_number": "678-631-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "TAYLOR",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.