Organization Active NPI

John a Taylor MD

  • Family Medicine Physician
  • Portland, TN
National Provider Identifier
1710166780
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000015302 Issued in TN
Legal business name
JOHN A TAYLOR MD
Practice address
307 S Broadway
Portland, TN 37148-1413
Phone
(615) 325-6755
Fax
(615) 325-6936
NPI assigned
Oct 26, 2007
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mrs. Vanessa Elena Tomlinson
Title
Office Manager
Phone
(615) 325-6755

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD0000015302 TN Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APN0000006807 TN
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APN0000012218 TN

Addresses

Primary practice location

307 S Broadway
Portland, TN 37148-1413

Mailing address

307 S Broadway
Portland, TN 37148-1413
Phone (615) 325-6755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1710166780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S BROADWAY",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481413",
            "telephone_number": "615-325-6755",
            "fax_number": "615-325-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S BROADWAY",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481413",
            "telephone_number": "615-325-6755",
            "fax_number": "615-325-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A TAYLOR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-325-6755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000015302",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000006807",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000012218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.