Individual provider Active NPI

Jerthitia S Taylor, MD

  • Obstetrics & Gynecology Physician
  • Valdosta, GA
National Provider Identifier
1467468561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
057852 Issued in GA
Practice address
2601 Bemiss Rd
Suite a
Valdosta, GA 31602-1445
Phone
(229) 242-6677
Fax
(229) 242-1870
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 057852 GA Primary

Addresses

Primary practice location

2601 Bemiss Rd
Suite a
Valdosta, GA 31602-1445

Mailing address

2601 Bemiss Rd
Suite a
Valdosta, GA 31602-1445
Phone (229) 242-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000066 GA Practitioner - Obstetrics/Gynecology 8022010339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Georgia, P.C.Group PAC ID 9032383583, 34 clinicians

Practice addresses (Care Compare)

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (864) 908-3530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057852GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
SGMC Physician Network Inc CurrentSince Feb 1, 2021 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jan 31, 2023 Accepting new patients
Southern OB GYN Associates P C Obstetrics & Gynecology CurrentSince Feb 5, 2024 Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients
Samuel Taylor, M.D. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

3312 N Oak St
Ste F
Valdosta, GA 31605

3312 N Oak St
Ste Fg
Valdosta, GA 31605
Phone (229) 433-8526

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

Interoperability endpoints

  • Direct secure messaging: jerthitia.taylor@gab019.digichart.direct-ci.com
  • Direct secure messaging: jtaylor7136@sgmc.gadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467468561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BEMISS RD",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021445",
            "telephone_number": "229-242-6677",
            "fax_number": "229-242-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BEMISS RD",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021445",
            "telephone_number": "229-242-6677",
            "fax_number": "229-242-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JERTHITIA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "057852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.