Organization Active NPI

Taylor Coleman, MD, PLLC

  • Ophthalmology Physician
  • Jackson, MS
National Provider Identifier
1851037139
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TAYLOR COLEMAN, MD, PLLC
Practice address
3000 Old Canton Rd Ste 305
Jackson, MS 39216-4245
Phone
(769) 487-5767
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Dr. Thomas Taylor Coleman, MDNPI 1013413921
Title
Physician
Phone
(769) 487-5767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3000 Old Canton Rd Ste 305
Jackson, MS 39216-4245

Mailing address

3000 Old Canton Rd Ste 305
Jackson, MS 39216-4245
Phone (769) 487-5767

National Provider Directory

National Provider Directory

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": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1851037139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD STE 305",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164245",
            "telephone_number": "769-487-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD STE 305",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164245",
            "telephone_number": "769-487-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR COLEMAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "769-487-5767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.