Active NPI
Jasmine Pugh Taylor, M.D.
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1316974447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 72938
- Practice address
- 265 Boulevard NE
Atlanta, GA 30312 - Phone
- (404) 665-8600
- NPI assigned
- Jun 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16220 | MS | |
| Psychiatry Physician | 2084P0800X | 72938 | GA | Primary |
Addresses
Primary practice location
265 Boulevard NE
Atlanta, GA 30312
Mailing address
265 Boulevard NE
Atlanta, GA 30312-1208
Phone (404) 665-8600
Other practice location 1
265 Boulevard NE
Atlanta, GA 30312
Phone (404) 665-8600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00001785 | Other | MS | PALMETTO GBA-RAILROAD MED |
| 00125299 | Medicaid | MS |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72938 | GA | MD | Psychiatry Physician |
| 16220 | MS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Medicine Inc. | Current | Accepting new patients | |
| Morehouse Healthcare, Inc. | Psychiatry | Current | Accepting new patients |
Locations
720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
1513 Cleveland Ave
Bldg 500
East Point, GA 30344
Phone (404) 756-1204
Interoperability endpoints
- jtaylor2954277@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1700673571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1316974447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BOULEVARD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121208",
"telephone_number": "404-665-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 BOULEVARD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30312",
"telephone_number": "404-665-8600"
}
],
"practiceLocations": [
{
"address_1": "265 Boulevard NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30312",
"country_code": "US",
"telephone_number": "404-665-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "JASMINE",
"middle_name": "PUGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "16220",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "72938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD MED",
"identifier": "P00001785",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00125299",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.