Taylor McPherson Banahan, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Pascagoula, MS
NPI 1649563271 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1649563271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 32066 (AL)
- Practice address
- 4507 Hospital St
Pascagoula, MS 39581-5336 - Phone
- (228) 769-1940
- Fax
- (228) 769-9231
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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, PLLC
Practice addresses (Care Compare)
4507 Hospital St
Pascagoula, MS 39581-5336
Phone (228) 769-1940
Hospital & facility affiliations
- Singing River Health System
- Singing River Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170710002858 | MS | Practitioner - Obstetrics/Gynecology | 5991941841 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32066 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Clinic for Women, PLLC | Current | Accepting new patients | |
| Southern Women'S Health, PLLC | Current |
Accepting new patients | |
| Southern Women'S Health, PLLC | Obstetrics & Gynecology | 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
- tbanahan@gcobgynms.gwaydirect.com
- taylor.banahan.1@28954.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 32066 | AL | Yes |
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
Other providers in Pascagoula, MS
- John Doyle Bailey
- John Marc Bailey
- Michael John Baker
- Glenda Darlene Balius
- John A Banahan Jr.
- Andrew J. Barfield
- Matthew Quin Barfield
- Darryll Barksdale
- Charlton Henry Barnes
- Austin Baskin
All providers in Pascagoula, MS · Obstetrics & Gynecology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.