Individual provider Active NPI

Gina Taylor, FNP-C

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1821363979
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN219174 Issued in GA
Practice address
3130 Andover Dr
Marietta, GA 30066-4531
Phone
(228) 424-2223
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN219174 GA Primary

Addresses

Primary practice location

3130 Andover Dr
Marietta, GA 30066-4531

Mailing address

3130 Andover Dr
Marietta, GA 30066-4531
Phone (228) 424-2223

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
I20120605000488 GA Practitioner - Nurse Practitioner 7012171929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cherokee Internal Medicine, P.C.Group PAC ID 8224164710, 3 clinicians

Practice addresses (Care Compare)

1192 Buckhead Xing
Suite C
Woodstock, GA 30189-4255
Phone (678) 238-0301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jul 7, 2014 Accepting new patients
Cherokee Internal Medicine, P.C. CurrentSince Jul 29, 2023 Accepting new patients
The Healthcaring Clinic of Georgia, LLC Family PastSince May 7, 2013 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients

Locations

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

1192 Buckhead Xing
Ste C
Woodstock, GA 30189
Phone (678) 238-0301

Organizations & group practices 4

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1821363979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 ANDOVER DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664531",
            "telephone_number": "228-424-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ANDOVER DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664531",
            "telephone_number": "228-424-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.