Active NPI
John a Taylor MD
- Family Medicine Physician
- Portland, TN
National Provider Identifier
1710166780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000015302
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000015302 | TN | Primary |
| Nurse Practitioner | 363L00000X | APN0000006807 | TN | |
| Nurse Practitioner | 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 DirectoryNPI 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.