Individual provider Active NPI

Anne E Taylor, AGNP

  • Primary Care Nurse Practitioner
  • Toccoa, GA
National Provider Identifier
1780184366
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN135284 Issued in GA
Practice address
467 W Doyle St
Toccoa, GA 30577-1791
Phone
(706) 886-4673
Fax
(706) 381-3100
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN135284 GA Primary

Addresses

Primary practice location

467 W Doyle St
Toccoa, GA 30577-1791

Mailing address

1295 Hopkins LN
Clayton, GA 30525-2405
Phone (404) 786-8720

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
I20210212000520 GA Practitioner - Nurse Practitioner 3173938792 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Services, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

458 N Main St
Clayton, GA 30525
Phone (706) 960-9550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19533/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1780184366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HOPKINS LN",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305252405",
            "telephone_number": "404-786-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771791",
            "telephone_number": "706-886-4673",
            "fax_number": "706-381-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANNE",
        "middle_name": "E",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN135284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.