Individual provider Active NPI

Karin Taylor, MD

  • Physical Medicine & Rehabilitation Physician
  • Lagrange, GA
National Provider Identifier
1366768459
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
075380 Issued in GA
Practice address
1555 Doctors Dr Ste 102
Lagrange, GA 30240-4132
Phone
(706) 803-7901
Fax
(770) 999-2205
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD.31545 AL
Physical Medicine & Rehabilitation Physician 208100000X 075380 GA Primary

Addresses

Primary practice location

1555 Doctors Dr Ste 102
Lagrange, GA 30240-4132

Mailing address

1555 Doctors Dr Ste 102
Lagrange, GA 30240-4132
Phone (706) 803-7901

Other practice location 1

3800 Ridgeway Dr
Birmingham, AL 35209-5506
Phone (205) 639-1451

Other practice location 2

1600 Vernon Rd Ste A
LaGrange, GA 30240
Phone (706) 880-7321

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ktaylor142550@directwellstar.org
Direct Messaging Address ktaylor142550@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140822001301 AL Practitioner - Physical Medicine and Rehabilitation 0042456832
I20170920002562 GA Practitioner - Physical Medicine and Rehabilitation 0042456832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1600 Vernon Rd
Suite a
Lagrange, GA 30240-4143
Phone (706) 880-7222

Hospital & facility affiliations

  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075380GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Pain and Rehabilitation Center Inc CurrentSince Jun 19, 2014 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2017 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

2270 Valleydale Rd
Ste 100
Hoover, AL 35244
Phone (205) 591-7246

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1600 Vernon Rd
Ste A
Lagrange, GA 30240
Phone (706) 880-7321

1555 Doctors Dr
Ste 102
Lagrange, GA 30240
Phone (706) 883-8733

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.

Hospital & facility affiliations 1

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1366768459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR STE 102",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-803-7901",
            "fax_number": "770-999-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR STE 102",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-803-7901",
            "fax_number": "770-999-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Ridgeway Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352095506",
            "country_code": "US",
            "telephone_number": "205-639-1451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Vernon Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "30240",
            "country_code": "US",
            "telephone_number": "706-880-7321",
            "fax_number": "706-880-7346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KARIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "MD.31545",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "075380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktaylor142550@directwellstar.org",
            "affiliation": "N",
            "address_1": "1600 Vernon Rd Ste A",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktaylor142550@directwellstar.org",
            "affiliation": "N",
            "address_1": "1555 Doctors Dr Ste 102",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.