Individual provider Active NPI

Caroline Mary Gearhard Taylor, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1689043580
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
008487 Issued in GA
Practice address
275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711
Phone
(404) 605-2888
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 008487 GA Primary

Addresses

Primary practice location

275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711

Mailing address

275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711
Phone (404) 605-2888

Other practice location 1

70 Francis St
5th floor
Boston, MA 02115-6134
Phone (857) 307-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160107001198 MA Practitioner - Physician Assistant 5193027142 Reassigns benefits to 1 organization
I20180102002904 GA Practitioner - Physician Assistant 5193027142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1689043580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091711",
            "telephone_number": "404-605-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091711",
            "telephone_number": "404-605-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Francis St",
            "address_2": "5th floor",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156134",
            "country_code": "US",
            "telephone_number": "857-307-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROLINE",
        "middle_name": "MARY GEARHARD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "008487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.