Individual provider Active NPI

Taylor S Swinea, ARNP

  • Gerontology Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1740788413
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN235821 Issued in GA
Practice address
615A Pendleton St
Waycross, GA 31501-4724
Phone
(912) 548-0710
Fax
(912) 548-0071
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN235821 GA Primary

Addresses

Primary practice location

615A Pendleton St
Waycross, GA 31501-4724

Mailing address

615A Pendleton St
Waycross, GA 31501-4724
Phone (912) 548-0710

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
I20180724003968 GA Practitioner - Nurse Practitioner 6709133549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satilla Rheumatology and Internal Medicine, PCGroup PAC ID 5193852150, 7 clinicians

Practice addresses (Care Compare)

615 Pendleton St
Suite a
Leesville, GA 71446-4724
Phone (865) 531-0176

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
92.57
Improvement activities
40
Cost
75.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN235821GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Satilla Rheumatology and Internal Medicine, PC CurrentSince May 22, 2018 Accepting new patients

Locations

223 Bay St
Baxley, GA 31513
Phone (912) 548-0710

100 Doctors Dr
Ste A
Douglas, GA 31533
Phone (912) 383-6575

615 Pendleton St
Ste A
Waycross, GA 31501
Phone (912) 548-0710

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: taylor.swinea.p1@direct.satillarheum.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1740788413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615A PENDLETON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014724",
            "telephone_number": "912-548-0710",
            "fax_number": "912-548-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615A PENDLETON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014724",
            "telephone_number": "912-548-0710",
            "fax_number": "912-548-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINEA",
        "first_name": "TAYLOR",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN235821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.