NPIMap

Organization Active NPI

Taylor Regional Hospital

Doing business as Taylor Physicians Practice # 9

  • Internal Medicine Physician
  • Cochran, GA
National Provider Identifier
1720337520
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TAYLOR REGIONAL HOSPITAL
Doing business as
Taylor Physicians Practice # 9
Practice address
179 W Dykes St
Suite 101
Cochran, GA 31014-6921
Phone
(478) 783-0200
NPI assigned
Sep 7, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Nikki Paulk
Title
Coo
Phone
(478) 783-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

179 W Dykes St
Suite 101
Cochran, GA 31014-6921

Mailing address

PO Box 1297
Hawkinsville, GA 31036-7297
Phone (478) 783-0200

Other names 1

  • Taylor Physicians Practice # 9 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hal London MD17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

179 W Dykes St
Ste 101
Cochran, GA 31014
Phone (478) 783-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1720337520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1297",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310367297",
            "telephone_number": "478-783-0200",
            "fax_number": "478-783-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 W DYKES ST",
            "address_2": "SUITE 101",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146921",
            "telephone_number": "478-783-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "478-783-0200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Physicians Practice # 9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cochran, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.