Individual provider Active NPI

Taylor McPherson Banahan, M.D.

  • Obstetrics & Gynecology Physician
  • Pascagoula, MS
National Provider Identifier
1649563271
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32066 Issued in AL
Practice address
4507 Hospital St
Pascagoula, MS 39581-5336
Phone
(228) 769-1940
Fax
(228) 769-9231
NPI assigned
May 16, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 32066 AL Primary

Addresses

Primary practice location

4507 Hospital St
Pascagoula, MS 39581-5336

Mailing address

4507 Hospital St
Pascagoula, MS 39581-5336
Phone (228) 769-1940

Other practice location 1

800 Saint Vincents Dr
Suite 500 North Tower
Birmingham, AL 35205-1620
Phone (205) 933-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170710002858 MS Practitioner - Obstetrics/Gynecology 5991941841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Women's Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

4507 Hospital St
Pascagoula, MS 39581-5336
Phone (228) 769-1940

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32066ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Women's Health, PLLC CurrentSince Jan 20, 2024 Accepting new patients
Southern Women's Health, PLLC Obstetrics & Gynecology CurrentSince Jan 20, 2024 Accepting new patients
Oxford Clinic for Women, PLLC Current Accepting new patients
Singing River Health System Past Accepting new patients

Locations

2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006

4507 Hospital St
Pascagoula, MS 39581
Phone (228) 769-1940

Interoperability endpoints

  • Direct secure messaging: taylor.banahan.1@28954.direct.athenahealth.com
  • Direct secure messaging: tbanahan@gcobgynms.gwaydirect.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649563271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815336",
            "telephone_number": "228-769-1940",
            "fax_number": "228-769-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815336",
            "telephone_number": "228-769-1940",
            "fax_number": "228-769-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Saint Vincents Dr",
            "address_2": "Suite 500 North Tower",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051620",
            "country_code": "US",
            "telephone_number": "205-933-8334",
            "fax_number": "205-933-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANAHAN",
        "first_name": "TAYLOR",
        "middle_name": "MCPHERSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "32066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.