Active NPI
Jay Patrick Taylor, MD
- Emergency Medicine Physician
- Daytona Beach, FL
National Provider Identifier
1396782074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME83493
- Practice address
- 222 S Peninsula Dr
Daytona Beach, FL 32118-4422 - Phone
- (386) 310-2160
- Fax
- (386) 310-2106
- NPI assigned
- Jun 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME83493 | FL | Primary |
Addresses
Primary practice location
222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Mailing address
222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Phone (386) 310-2160
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262891100 | Medicaid | FL | |
| 06018 | Other | FL | BLUE CROSS |
| 190499 | Other | FL | AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare at Twin Lakes LLC | Current | Accepting new patients | |
| Bay View Urgent Care LLC | Past | Accepting new patients | |
| Halifax Healthcare Systems Inc | Past | Accepting new patients |
Locations
1890 Lpga Blvd
Ste 130
Daytona Beach, FL 32117
Phone (386) 274-2212
740 Dunlawton Ave
Ste 100
Port Orange, FL 32127
Phone (386) 767-2402
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.
-
- Urgent Care Clinic/Center
- Daytona Beach, FL
- NPI 1902809122
-
- Emergency Medicine Physician
- Deland, FL
- NPI 1205880853
-
- Family Medicine Physician
- New Smyrna Beach, FL
- NPI 1386896991
-
- Cardiovascular Disease Physician
- Daytona Beach, FL
- NPI 1366452591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1396782074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S PENINSULA DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321184422",
"telephone_number": "386-310-2160",
"fax_number": "386-310-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S PENINSULA DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321184422",
"telephone_number": "386-310-2160",
"fax_number": "386-310-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JAY",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME83493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262891100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "06018",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "190499",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.