NPIMap

Organization Active NPI

Taylor Regional Hospital

Doing business as Taylor Physicians Practice # 19

  • Family Medicine Physician
  • Vienna, GA
National Provider Identifier
1780934539
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TAYLOR REGIONAL HOSPITAL
Doing business as
Taylor Physicians Practice # 19
Practice address
1303 E Union St
Suite 102
Vienna, GA 31092-7540
Phone
(229) 268-8321
Fax
(229) 268-8323
NPI assigned
Sep 19, 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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1303 E Union St
Suite 102
Vienna, GA 31092-7540

Mailing address

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

Other names 1

  • Taylor Physicians Practice # 19 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ortho Assoc of Central17 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

1303 E Union St
Ste 102
Vienna, GA 31092
Phone (229) 268-8321

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": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1780934539",
    "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": "1303 E UNION ST",
            "address_2": "SUITE 102",
            "city": "VIENNA",
            "state": "GA",
            "postal_code": "310927540",
            "telephone_number": "229-268-8321",
            "fax_number": "229-268-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Physicians Practice # 19",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, 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.