Individual provider Active NPI

Taylor Daniel Mansfield, MD

  • Orthopaedic Surgery Physician
  • Fort Campbell, KY
National Provider Identifier
1376903732
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
57270 Issued in KY
Practice address
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone
(270) 798-8426
NPI assigned
Feb 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 30374 NE
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 57270 KY Primary

Addresses

Primary practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Mailing address

1136 Christian James Dr
Clarksville, TN 37043-1642

Other practice location 1

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6965

Other practice location 2

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 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
I20220711002094 GA Practitioner - Orthopedic Surgery 2769862531 Reassigns benefits to 1 organization
I20221107000425 KY Practitioner - Orthopedic Surgery 2769862531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breckinridge Health, Inc.Group PAC ID 0941106454, 14 clinicians
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

105 Chambliss Dr
Hardinsburg, KY 40143-2575
Phone (270) 580-2256

200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 824-6655

Hospital & facility affiliations

  • Breckinridge Memorial Hospital Hospital, Hardinsburg, KY, CCN 181319
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30374NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optim Orthopedics, LLC Orthopaedic Surgery Current Accepting new patients
Breckinridge Health Inc CurrentSince Feb 1, 2025 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Oct 22, 2022 Accepting new patients
Breckinridge Health Inc CurrentSince Feb 1, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 22, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc Current Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Mar 30, 2022 Accepting new patients
Breckinridge Health, Inc Current Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Mar 30, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Breckinridge Health Inc Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery PastSince Oct 6, 2019 Accepting new patients

Locations

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

Interoperability endpoints

  • Direct secure messaging: taylor.mansfield.1@16403.direct.athenahealth.com
  • Direct secure messaging: taylor.mansfield.1@15020.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1376903732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CHRISTIAN JAMES DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145641",
            "country_code": "US",
            "telephone_number": "912-435-6965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "TAYLOR",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "30374",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "57270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

Verify at the official NPI Registry.