Active NPI
Darcey Jerome Taylor, DMD
- General Practice Dentistry
- Lawrenceville, GA
National Provider Identifier
1609933357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN010428
- Practice address
- 860 Duluth Hwy Ste 1030
Lawrenceville, GA 30043-5349 - Phone
- (770) 682-7380
- Fax
- (770) 476-5078
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN010428 | GA | Primary |
Addresses
Primary practice location
860 Duluth Hwy Ste 1030
Lawrenceville, GA 30043-5349
Mailing address
860 Duluth Hwy Ste 1030
Lawrenceville, GA 30043-5349
Phone (770) 682-7380
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629002022 | GA | Order and Referring Only - Dentist | 7113328055 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentfirst PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1609933357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 DULUTH HWY STE 1030",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435349",
"telephone_number": "770-682-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 DULUTH HWY STE 1030",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435349",
"telephone_number": "770-682-7380",
"fax_number": "770-476-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DARCEY",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN010428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.