Individual provider Active NPI

Cynthia R Taylor, NP-C

  • Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1326438797
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F1214222 Issued in GA
Practice address
1025 N Houston Rd
Warner Robins, GA 31093-1505
Phone
(478) 922-9136
Fax
(478) 923-6846
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN135541 GA
Nurse Practitioner 363L00000X F1214222 GA Primary

Addresses

Primary practice location

1025 N Houston Rd
Warner Robins, GA 31093-1505

Mailing address

PO Box 5048
Macon, GA 31208-5048
Phone (478) 922-9136

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150406002354 GA Practitioner - Nurse Practitioner 2163740036 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN135541GAMDRegistered Nurse
F1214222GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Emergency Group LLC Nurse Practitioner CurrentSince Jan 16, 2016 Accepting new patients
Houston Hospitals Inc CurrentSince Jul 26, 2022 Accepting new patients
Guardian Medical Services, LLC Past Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843

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.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1326438797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5048",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312085048",
            "telephone_number": "478-922-9136",
            "fax_number": "478-923-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931505",
            "telephone_number": "478-922-9136",
            "fax_number": "478-923-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CYNTHIA",
        "middle_name": "R",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN135541",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "F1214222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.