NPIMap

Individual provider Active NPI

Jeremy S. Taylor, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Madison, MS
National Provider Identifier
1356605752
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
23700 Issued in MS
Practice address
804 Highway 51
Madison, MS 39110-8404
Phone
(601) 414-4770
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23700 MS
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 23700 MS Primary

Addresses

Primary practice location

804 Highway 51
Madison, MS 39110-8404

Mailing address

PO Box 1998
Madison, MS 39130-1998
Phone (601) 414-4770

Other identifiers 1

IdentifierTypeStateIssuer
23700OtherMSMISSISSIPPI STATE BOARD OF MEDICAL LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626001003 MS Practitioner - Endocrinology 9436478773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Mississippi School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quad Intermed Company LLCGroup PAC ID 6709245954, 42 clinicians
Diabetes and Endocrine Center of MsGroup PAC ID 5496935421, 9 clinicians

Practice addresses (Care Compare)

804 Hwy 51
Madison, MS 39110-8404
Phone (601) 605-6146

971 Lakeland Dr
Suite 450
Jackson, MS 39216-4615
Phone (601) 326-4255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.53 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23700MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quad Intermed Company LLC CurrentSince Oct 7, 2025 Accepting new patients
Diabetes and Endocrine Center of Ms Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2017 Accepting new patients
Quad Intermed Company LLC Current Accepting new patients
Quad Intermed Company LLC CurrentSince Oct 7, 2025 Accepting new patients
Quad Intermed Company LLC Past Accepting new patients

Locations

971 Lakeland Dr
Ste 450
Jackson, MS 39216
Phone (601) 326-4255

804 Highway 51
Madison, MS 39110
Phone (601) 605-6146

308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500

4204 Clay St
Vicksburg, MS 39183
Phone (601) 200-4560

4204 Clay St
#V
Vicksburg, MS 39183
Phone (601) 619-7717

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jeremy.taylor.p9048@direct.decm.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1356605752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1998",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391301998",
            "telephone_number": "601-414-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108404",
            "telephone_number": "601-414-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEREMY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23700",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "23700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE",
            "identifier": "23700",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.