Charlene M Taylor, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A2774 Issued in MS

Practice address

3017 13TH St
Gulfport, MS 39501-1833

Phone

(228) 863-6592

Fax

(228) 863-1747

NPI assigned

Aug 24, 2006

Sex

Female

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

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Hearing Center LLCGroup PAC ID 3779711882, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coastal Hearing Center, LLC

  • Hearing and Speech Clinic/Center
  • Biloxi, MS
  • NPI 1528490117
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1376650515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 TARA HILLS DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032332",
            "telephone_number": "228-863-6592",
            "fax_number": "228-863-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-863-6592",
            "fax_number": "228-863-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARLENE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A2774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER IDENTIFICATION NUMBER",
            "identifier": "512I640011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Lea Cassandra Tarver, NP
• Tasha Touch Home Health Care LLC
• Vivian Keller Tate, LCSW
• Wakkas Tayara, M.D.
• Taylor Harris Drug Store
• Constance Eugenia Taylor, MS
• David Provosty Taylor Jr., M.D.
• Jeffery Y. Taylor, D.M.D.
• Lindsay Taylor
• Malendia Eads Taylor, AUD

• Audiologist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.