Summers W. Taylor, III, MD, PC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

13084 Issued in AL

Legal business name

SUMMERS W. TAYLOR, III, MD, PC

Practice address

2505 US Highway 431
Women'S Center, Suite a
Boaz, AL 35957-5908

Phone

(256) 840-4430

Fax

(256) 840-4537

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Summers Wilson Taylor III, M.D.NPI 1275572836

Title

MD

Phone

(256) 840-4530

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Summers Wilson Taylor III, MD

  • Obstetrics & Gynecology Physician
  • Boaz, AL
  • NPI 1275572836
  Medicare reassignment Care Compare group Authorized official
• Abby Williams, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Boaz, AL
  • NPI 1356118970
  Medicare reassignment Care Compare group NPD
• Antallia Shauntell Johnson, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Boaz, AL
  • NPI 1710443767
  Medicare reassignment

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1639455280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 US HIGHWAY 431",
            "address_2": "WOMEN'S CENTER, SUITE A",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575908",
            "telephone_number": "256-840-4430",
            "fax_number": "256-840-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 US HIGHWAY 431",
            "address_2": "WOMEN'S CENTER, SUITE A",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575908",
            "telephone_number": "256-840-4430",
            "fax_number": "256-840-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS W. TAYLOR, III, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SUMMERS",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-840-4530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AL",
            "license": "13084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009967600",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51504213",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lashea Stanford, ASSISTANT
• Rachel Stephens, LCSW
• Jonathan Ashe Storey, MD
• Meghan Street, ALC
• Adam Lee Strickland, NP
• Ginger Roden Taylor, CRNA
• Hailey A Taylor, CRNP
• Summers Wilson Taylor III, MD
• Alvin V Tenchavez, M.D.
• The Point Physical Therapy

• Obstetrics Physician in Boaz, AL
• Providers in Boaz, AL by specialty
• Obstetrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.