Individual provider Active NPI

Jovonsia M Taylor, MD

  • Pediatrics Physician
  • Catonsville, MD
National Provider Identifier
1366518565
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D56744 Issued in MD
Practice address
4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277
Phone
(410) 869-0100
Fax
(410) 601-7317
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD32561 DC
Pediatrics Physician 208000000X D56744 MD Primary

Addresses

Primary practice location

4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277

Mailing address

4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277
Phone (410) 869-0100

Other practice location 1

5001 Silver Hill Rd
Suitland, MD 20746-5215
Phone (240) 492-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20160826001360 MD Practitioner - Pediatric Medicine 4880682475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Practice addresses (Care Compare)

4 W Rolling Cross Rd
Catonsville, MD 21228-6280
Phone (410) 368-1370

4 W Rolling Crossroads
Suite 100
Catonsville, MD 21228-6280
Phone (410) 869-0100

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D56744MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc CurrentSince Aug 3, 2016 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Aug 3, 2016 Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients

Locations

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

4 W Rolling Xrds
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 4

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1366518565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W ROLLING XRDS STE 100",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286277",
            "telephone_number": "410-869-0100",
            "fax_number": "410-601-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W ROLLING XRDS STE 100",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286277",
            "telephone_number": "410-869-0100",
            "fax_number": "410-601-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Silver Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Suitland",
            "state": "MD",
            "postal_code": "207465215",
            "country_code": "US",
            "telephone_number": "240-492-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOVONSIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD32561",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D56744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.