Active NPI
Jarrod Wayne Taylor, CRNP
- Nurse Practitioner
- Elkmont, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F0206076
- Practice address
- 28730 Al Highway 99
Suite D
Elkmont, AL 35620-7951 - Phone
- (256) 232-1400
- Fax
- (256) 232-1425
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F0206076 | AL | Primary |
Addresses
Primary practice location
28730 Al Highway 99
Suite D
Elkmont, AL 35620-7951
Mailing address
PO Box 1044
Athens, AL 35612-1044
Phone (256) 232-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-41756 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28730 Al Hwy 99
Suite D
Elkmont, AL 35620-7952
Phone (256) 232-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0206076 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Limestone Community Care | Current | Accepting new patients | |
| Athens-Limestone ER Physicians | Current | Accepting new patients | |
| Ability Plus, Inc | Past | Accepting new patients |
Locations
700 W Market St
Athens, AL 35611
Phone (256) 233-9292
28730 AL Highway 99
Ste D
Elkmont, AL 35620
Phone (256) 232-1400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Athens, AL
- NPI 1528314119
-
- Family Medicine Physician
- Elkmont, AL
- NPI 1699472167
-
- Community Health Clinic/Center
- Elkmont, AL
- NPI 1174737951
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Athens-Limestone HomeCare
- Home Health Agency
- Athens, AL
- NPI 1730136698
-
dba Athens Limestone Hospital
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1679787972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1044",
"city": "ATHENS",
"state": "AL",
"postal_code": "356121044",
"telephone_number": "256-232-1400",
"fax_number": "256-232-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28730 AL HIGHWAY 99",
"address_2": "SUITE D",
"city": "ELKMONT",
"state": "AL",
"postal_code": "356207951",
"telephone_number": "256-232-1400",
"fax_number": "256-232-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JARROD",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "F0206076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "515-41756",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkmont, AL
- Oligoi, Inc
- Peaceful Hearts and Minds Therapy
- Pinnacle Behavior Health, Inc (Elk River Treatment Program)
- Salem Pharmacy
- Robert Martin Smith, RPH
- The Pinnacle Schools, Inc (Elk River Treatment Program)
- The Pinnacle Schools, Inc (Elk River Treatment Program)
- Casey Toone, CRNP
- Andres Rafael Vega Ramos, MS
- West Limestone Community Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.
- 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.