Individual provider Active NPI

Gaynell Schrell Taylor, FNP

  • Family Nurse Practitioner
  • Dacula, GA
National Provider Identifier
1588072367
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN178955 Issued in GA
Practice address
3027 Jim Moore Rd
Dacula, GA 30019-1144
Phone
(770) 339-0129
NPI assigned
Jul 24, 2014
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN178955 GA Primary

Addresses

Primary practice location

3027 Jim Moore Rd
Dacula, GA 30019-1144

Mailing address

3027 Jim Moore Rd
Dacula, GA 30019-1144
Phone (770) 339-0129

Other practice location 1

6300 Jimmy Carter Blvd
Suite 110
Norcross, GA 30071-2347
Phone (770) 280-1919 ext. 309

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923000762 GA Practitioner - Nurse Practitioner 9133548241 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN178955GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jul 30, 2020 Accepting new patients
American Current Care P.a. CurrentSince Jun 9, 2025 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. CurrentSince Jun 9, 2025 Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

3027 Jim Moore Rd
Dacula, GA 30019
Phone (770) 339-0129

6300 Jimmy Carter Blvd
Ste 110
Norcross, GA 30071
Phone 7702801919 ext. 309

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, 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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1588072367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 JIM MOORE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191144",
            "telephone_number": "770-339-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 JIM MOORE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191144",
            "telephone_number": "770-339-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Jimmy Carter Blvd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300712347",
            "country_code": "US",
            "telephone_number": "770-280-1919 x309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GAYNELL",
        "middle_name": "SCHRELL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN178955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.