Taylor Surin

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN218884 Issued in GA

Practice address

6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221

Phone

(404) 321-9900

Fax

(404) 321-4460

NPI assigned

Jan 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Taylor Horton Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsurin140306@directwellstar.org

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

• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  NPD

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1780120766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR NE",
            "address_2": "SUITE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292221",
            "telephone_number": "404-321-9900",
            "fax_number": "404-321-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR NE",
            "address_2": "SUITE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292221",
            "telephone_number": "404-321-9900",
            "fax_number": "404-321-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIN",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RNQ128884",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN218884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "HORTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Surgical Evolution LLC
• Surgical Health Collective
• Surgical Oncology of North Georgia, Inc.
• Surgical Resources, Inc
• Surgical Solutions LLC
• Todd Scott Surloff, D.C.
• Michelle Surma, CAA
• Aleksandr Surovets, PA
• Gensen M Surpris
• Kia-Symone Surrell, DMD

• All providers in Atlanta, GA
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.