Shalu R Taylor, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN174968 Issued in GA

Practice address

616 Ferncrest Dr
Sandersville, GA 31082-1863

Phone

(478) 553-1620

Fax

(478) 864-1288

NPI assigned

Dec 8, 2005

Last updated

Feb 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Community Health Care Systems, Inc.

  dba Johnson County Center for Community Health

  • Federally Qualified Health Center (FQHC)
  • Wrightsville, GA
  • NPI 1932150422
  Medicare reassignment NPD
• Community Health Care Systems Inc,

  dba Sandersville Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sandersville, GA
  • NPI 1861666455
  NPD
• Community Health Care Systems, Inc

  dba Community Health Care Systems Administration & Specialty Services

  • Federally Qualified Health Center (FQHC)
  • Sandersville, GA
  • NPI 1184515694
  NPD

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1659356038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 FERNCREST DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821863",
            "telephone_number": "478-553-1620",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 FERNCREST DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821863",
            "telephone_number": "478-553-1620",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHALU",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN174968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994260837A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "RN174968",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994260837B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nunn Tarbutton, MD
• Chad Donald Tarr, MD
• Tattnall Hospital Company, LLC (Optim Medical Center-Tattnall Sandersville)
• Angela Taylor
• Earle M Taylor, M.D.
• The Bone & Joint Orthopaedic Surgery Clinic, P. C.
• Randy S. Thomas, SLP-CCC
• Keith B Thompson
• Latina Thompson
• James H Tinley, MD

• Women's Health Nurse Practitioner in Sandersville, GA
• Providers in Sandersville, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.

Verify at the official NPI Registry.