Individual provider Active NPI

Taylor Boone Conley, PA-C

  • Physician Assistant
  • Cartersville, GA
National Provider Identifier
1578080685
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone
(770) 386-5221
Fax
(770) 386-1128
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005

Mailing address

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone (770) 386-5221

Other practice location 1

576 Ft Loudoun Med Ctr Dr Ste 100
Lenoir City, TN 37772-5676
Phone (865) 988-8667

Other practice location 2

1819 Clinch Ave Ste 100
Knoxville, TN 37916-2435
Phone (865) 524-5365

Other practice location 3

988 Oak Ridge Tpke Ste 100
Oak Ridge, TN 37830-6919
Phone (865) 483-8478

Other practice location 4

9430 Park West Blvd Ste 130
Knoxville, TN 37923
Phone (865) 690-4861

Other identifiers 1

IdentifierTypeStateIssuer
14133920OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180507000626 TN Practitioner - Physician Assistant 8921362567 Reassigns benefits to 2 organizations
I20220915002190 GA Practitioner - Physician Assistant 8921362567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Bone and Joint Surgeons, P.C.Group PAC ID 2466449558, 18 clinicians

Practice addresses (Care Compare)

15 Medical Dr NE
Suite 101
Cartersville, GA 30121-8005
Phone 80084152003240

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
66.55
Promoting interoperability
100
Improvement activities
40
Cost
84.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince Jun 3, 2019 Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince Jun 3, 2019 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Georgia Bone & Joint Surgeons, P.C, CurrentSince Sep 8, 2022 Accepting new patients

Locations

15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

1819 Clinch Ave
Ste 100
Knoxville, TN 37916
Phone (865) 524-5305

9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24010/brand/1/csg/1/fhir/r4
  • Direct secure messaging: taylor.conley.1@24010.direct.athenahealth.com

Organizations & group practices 7

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1578080685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Ft Loudoun Med Ctr Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8667",
            "fax_number": "865-988-8837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 Clinch Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162435",
            "country_code": "US",
            "telephone_number": "865-524-5365",
            "fax_number": "865-673-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306919",
            "country_code": "US",
            "telephone_number": "865-483-8478",
            "fax_number": "865-483-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9430 Park West Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37923",
            "country_code": "US",
            "telephone_number": "865-690-4861",
            "fax_number": "865-560-8525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "TAYLOR",
        "middle_name": "BOONE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14133920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.