Individual provider Active NPI

Tayler Robin Ebert, APRN. FNP-C

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1710658042
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN215464 Issued in GA
Practice address
4274 N Valdosta Rd
Valdosta, GA 31602-6814
Phone
(229) 242-1234
Fax
(229) 242-0687
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN215464 GA Primary

Addresses

Primary practice location

4274 N Valdosta Rd
Valdosta, GA 31602-6814

Mailing address

PO Box 1403
Valdosta, GA 31603-1403
Phone (229) 548-3919

Other identifiers 2

IdentifierTypeStateIssuer
RN215464OtherGAGEORGIA BOARD OF NURSE APRN LICENSE NUMBER
F08211302OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION NUMBER

Other names 1

  • Tayler Robin McGee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20211025001529 GA Practitioner - Nurse Practitioner 4587052584

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN215464GAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tebert7610@sgmc.gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1710658042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1403",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316031403",
            "telephone_number": "229-548-3919",
            "fax_number": "229-242-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026814",
            "telephone_number": "229-242-1234",
            "fax_number": "229-242-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "TAYLER",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "APRN. FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF NURSE APRN LICENSE NUMBER",
            "identifier": "RN215464",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION NUMBER",
            "identifier": "F08211302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLER",
            "last_name": "MCGEE",
            "middle_name": "ROBIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.