Individual provider Active NPI

Jarrod Wayne Taylor, CRNP

  • Nurse Practitioner
  • Elkmont, AL
National Provider Identifier
1679787972
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0206076 Issued in AL
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

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
515-41756OtherALBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000624 AL Practitioner - Nurse Practitioner 2365419702 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
F0206076ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Limestone Community Care CurrentSince Apr 1, 2023 Accepting new patients
Athens-Limestone ER Physicians CurrentSince Oct 1, 2012 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.

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.