Amy Roberson Taylor, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN227762 Issued in GA

Practice address

902 20TH St W
Tifton, GA 31794-3346

Phone

(478) 231-4515

NPI assigned

Apr 1, 2020

Last updated

Apr 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1851929962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 20TH ST W",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943346",
            "telephone_number": "478-231-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 20TH ST W",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943346",
            "telephone_number": "478-231-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMY",
        "middle_name": "ROBERSON",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN227762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tifton",
            "affiliation": "N",
            "endpointDescription": "Cerner",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cerner",
            "address_1": "902 20th St W",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317943346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Surgery Center at Cypress Point LLC
• Kimberly Joan Swanson, PHARM.D
• Courtney L Taibi, FNP-C
• Alexia Michelle Tanner, LCSW
• Clayton Ross Tapp
• Joanna Taylor, LCSW
• Larry Lee Taylor Jr., NP
• Rita P Taylor, FNP
• Troy Taylor, PA
• Arslan Tayyab, MBBS

• Nurse Practitioner in Tifton, GA
• Providers in Tifton, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.