Individual provider Active NPI

Ashley Mabina Taylor, MD

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1831535202
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
077289 Issued in GA
Practice address
5002 Waters Ave
Savannah, GA 31404-6226
Phone
(912) 350-8180
Fax
(912) 350-5697
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 077289 GA Primary

Addresses

Primary practice location

5002 Waters Ave
Savannah, GA 31404-6226

Mailing address

5002 Waters Ave
Savannah, GA 31404-6226
Phone (912) 350-8180

Other practice location 1

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8180

Other practice location 2

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8180

Other names 1

  • Ashley Mabina Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170303001143 GA Practitioner - Pediatric Medicine 5991089328 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
077289GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. Pediatrics CurrentSince Jan 11, 2017 Accepting new patients
Savannah Pediatric Care, LLC Pediatrics CurrentSince Feb 1, 2018 Accepting new patients

Locations

5002 Waters Ave
Savannah, GA 31404
Phone (912) 350-2664

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1831535202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046226",
            "telephone_number": "912-350-8180",
            "fax_number": "912-350-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046226",
            "telephone_number": "912-350-8180",
            "fax_number": "912-350-5697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-8180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ASHLEY",
        "middle_name": "MABINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "077289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MABINA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.