Michael Wayne Taylor, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME87887 Issued in FL

Practice address

2202 State Ave
Ste. 207
Panama City, FL 32405-7601

Phone

(850) 784-1856

Fax

(850) 784-1975

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gulf Coast Multispeciality Services, LLC

  • Surgery Physician
  • Panama City, FL
  • NPI 1649296088
  Medicare reassignment NPD
• Gulf Coast Medical Center Primary Care LLC

  • Obstetrics & Gynecology Physician
  • Panama City, FL
  • NPI 1285679050
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1326023920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 207",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-784-1856",
            "fax_number": "850-784-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "STE. 207",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-784-1856",
            "fax_number": "850-784-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME87887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272292500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.TAYLOR@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2202 State Ave",
            "address_2": "STE. 207",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324057601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beverly Ann Taylor, ARNP
• Briana C Taylor
• Heather Renee Taylor, FNP-C
• Kaitlin Arianna Taylor, M.S.
• Kirstin Leigh Blalock Taylor
• Seth Taylor, RPH
• TB Moyer Holdings LLC (Panhandle CPR)
• Team Adaptive Inc
• Jamie-Ann U Tedtaotao
• Lynda K. Teig, RN

• Surgery Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.

Verify at the official NPI Registry.