Active NPI
Gwendolyn Flowers-Taylor, RN
- Registered Nurse
- Griffin, GA
National Provider Identifier
1801330618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN193250
- Practice address
- 214 S 12TH St
Griffin, GA 30224-2812 - Phone
- (470) 204-7956
- Fax
- (866) 217-7073
- NPI assigned
- Dec 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN193250 | GA | Primary |
Addresses
Primary practice location
214 S 12TH St
Griffin, GA 30224-2812
Mailing address
214 S 12TH St
Griffin, GA 30224-2812
Phone (470) 204-7956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889079225A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN193250 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1801330618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S 12TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302242812",
"telephone_number": "470-204-7956",
"fax_number": "866-217-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S 12TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302242812",
"telephone_number": "470-204-7956",
"fax_number": "866-217-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS-TAYLOR",
"first_name": "GWENDOLYN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN193250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889079225A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.