Active NPI
Taylor Daniel Mansfield, MD
- Orthopaedic Surgery Physician
- Fort Campbell, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 57270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Baptist Health Deaconess Madisonville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30374 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Breckinridge Health Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Breckinridge Health Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Breckinridge Health, Inc | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Breckinridge Health Inc | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Past | 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
- taylor.mansfield.1@16403.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
KY
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
GA, Orthopaedic Surgery
-
- Rural Health Clinic/Center
- Madisonville, KY
- NPI 1144804311
-
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
-
- Rural Health Clinic/Center
- Hardinsburg, KY
- NPI 1568912400
-
- Family Medicine Physician
- Irvington, KY
- NPI 1831990662
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1053704254
Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- Specialist
- Hardinsburg, KY
- NPI 1730520875
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.