Active NPI
Martin Joseph Taylor, CRNA
- Certified Registered Nurse Anesthetist
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN085928
- Practice address
- 3651 Wheeler Rd
Augusta, GA 30909-6521 - Phone
- (706) 855-9860
- Fax
- (706) 860-7124
- NPI assigned
- May 4, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN085928 | GA | Primary |
Addresses
Primary practice location
3651 Wheeler Rd
Augusta, GA 30909-6521
Mailing address
PO Box 204097
Augusta, GA 30907
Phone (706) 855-9860
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430077291 | Other | GA | RAILROAD MEDICARE |
| 10065665 | Other | GA | AMERIGROUP |
| 000692843G | Medicaid | GA | |
| GAN366 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1789 | SC | MD | Dentist |
| RN085928 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Self Regional Healthcare Partners | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Current | Accepting new patients | |
| Riverside Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Southern Crescent Anesthesiology, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000
300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
GA, Nurse Anesthetist, Certified Registered
-
dba Edgefield County Healthcare, An Affiliate of Self Regional Healthcare
- Critical Access Hospital
- Edgefield, SC
- NPI 1922582105
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1881877793
-
- Certified Registered Nurse Anesthetist
- Augusta, GA
- NPI 1144690033
Nurse Anesthetist, Certified Registered
-
dba Edgefield Community Pharmacy
- Community/Retail Pharmacy
- Edgefield, SC
- NPI 1073486494
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1275585879
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Washington County Regional Medical Center
- Rural Acute Care Hospital
- Sandersville, GA
- NPI 1396770004
-
- Physical Therapy Clinic/Center
- Sandersville, GA
- NPI 1528619491
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1417915646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204097",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30907",
"telephone_number": "706-855-9860",
"fax_number": "706-860-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096521",
"telephone_number": "706-855-9860",
"fax_number": "706-860-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MARTIN",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN085928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430077291",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10065665",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000692843G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GAN366",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.