NPIMap

Taylor Regional Hospital

Organization Active NPI Rural Health Clinic/Center · Cochran, GA

NPI 1801147111 · NPPES record last updated Apr 12, 2022

Key facts

NPI
1801147111
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
TAYLOR REGIONAL HOSPITAL
Practice address
173 W Dykes St
Cochran, GA 31014-6921
Phone
(478) 934-0329
Fax
(787) 832-2994
NPI assigned
Sep 26, 2012
Organization subpart
No

Authorized official

Name
Jonathan Green
Title
Coo
Phone
(478) 783-0200

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040426000736 GA Part B Supplier - Clinic/Group Practice 6800795154 Receives reassigned benefits from 23 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hawkinsville, GA; Abbeville, GA; Cochran, GA

National Provider Directory

Locations

173 W Dykes St
Cochran, GA 31014
Phone (478) 934-0329

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

173 W Dykes St
Cochran, GA 31014-6921

Mailing address

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

Other names

  • Taylor Physicians Practice # 8 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 12, 2022.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1801147111",
    "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": "173 W DYKES ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146921",
            "telephone_number": "478-934-0329",
            "fax_number": "787-832-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "478-783-0200"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Physicians Practice # 8",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taylor Physicians Practice # 8",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cochran, GA

All providers in Cochran, GA · Rural Health Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.