Vanessa Marie Taylor, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Centerville, GA
NPI 1669635629 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1669635629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN172863 (GA)
- Practice address
- 201 Grove CT
Centerville, GA 31028-8519 - Phone
- (770) 375-0608
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250530002177 | GA | Practitioner - Nurse Practitioner | 9537678784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylormade Psychiatry and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Uhs of Anchor L.P. | Current | Accepting new patients | |
| Uhs of Anchor L.P. | Current |
Accepting new patients |
Locations
5454 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN172863 | GA | Yes |
Addresses
Primary practice location
201 Grove CT
Centerville, GA 31028-8519
Mailing address
201 Grove CT
Centerville, GA 31028-8519
Phone (770) 375-0608
Other providers in Centerville, GA
- Solo Safe, LLC
- Sparkle Psychological
- Hannah Squires Jones
- John Allen Stevick
- Antonia K Taylor
- Tripleheart Wound Care
- U Save It Pharmacy Inc
- U Save It Pharmacy Inc
- Walgreen Co
- Shanta Lafaye Watkins
All providers in Centerville, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.