Individual provider Active NPI

Mistye Dawnielle Taylor, M.D.

  • Specialist
  • Smyrna, TN
National Provider Identifier
1548429798
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30423 Issued in AL
Practice address
300 Stonecrest Blvd
Suite 490
Smyrna, TN 37167-5688
Phone
(615) 223-0200
Fax
(615) 223-8704
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30423 AL Primary
Gynecology Physician 207VG0400X 49895 TN
Obstetrics Physician 207VX0000X 49895 TN
Reproductive Endocrinology Physician 207VE0102X 49895 TN

Addresses

Primary practice location

300 Stonecrest Blvd
Suite 490
Smyrna, TN 37167-5688

Mailing address

300 Stonecrest Blvd
Suite 490
Smyrna, TN 37167-5688
Phone (615) 223-0200

Other identifiers 1

IdentifierTypeStateIssuer
116356MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 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
I20101028000715 AL Practitioner - Obstetrics/Gynecology 3971666892 Reassigns benefits to 1 organization
I20141223000294 TN Practitioner - Obstetrics/Gynecology 3971666892 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30423ALMDSpecialist
49895TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Tennessee, P.C. CurrentSince Dec 5, 2025 Accepting new patients
Mistye Taylor MD PLLC Obstetrics CurrentSince Nov 1, 2014 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Parkway Medical Clinic Inc Gynecology Past Accepting new patients

Locations

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

2020 Rock Springs Rd
Ste 110
Smyrna, TN 37167
Phone (615) 223-0200

300 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 223-0200

300 Stonecrest Blvd
Ste 490
Smyrna, TN 37167
Phone (615) 223-0200

2020 Rock Springs Rd
Smyrna, TN 37167
Phone (615) 223-0200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1548429798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 490",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675688",
            "telephone_number": "615-223-0200",
            "fax_number": "615-223-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 490",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675688",
            "telephone_number": "615-223-0200",
            "fax_number": "615-223-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MISTYE",
        "middle_name": "DAWNIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "30423",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "49895",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "49895",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TN",
            "license": "49895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116356",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.