Individual provider Active NPI

Tai DO, MD

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1861021255
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
96086 Issued in GA
Practice address
677 Church Street
Attn: Gme
Marietta, GA 30060
Phone
(770) 793-5186
NPI assigned
Apr 7, 2020
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 96086 GA Primary

Addresses

Primary practice location

677 Church Street
Attn: Gme
Marietta, GA 30060

Mailing address

660 Trace Rd
Dallas, GA 30157-9578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NJ, OK, MS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230725000390 GA Practitioner - Internal Medicine 2769804426 Reassigns benefits to 7 organizations
I20240216001304 NJ Practitioner - Internal Medicine 2769804426 Reassigns benefits to 1 organization
I20250117001997 OK Practitioner - Internal Medicine 2769804426 Reassigns benefits to 1 organization
I20250328000573 MS Practitioner - Internal Medicine 2769804426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians
The Finley HospitalGroup PAC ID 5092622944, 84 clinicians

Practice addresses (Care Compare)

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200

660 Trace Rd
Dallas, GA 30157-9578
Phone (641) 236-2382

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
The Finley Hospital CurrentSince Oct 11, 2025 Accepting new patients
Passaic Hospitalist Services, LLC Hospitalist CurrentSince Feb 1, 2024 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Nov 28, 2023 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Jan 1, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Oct 7, 2025 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Grinnell Regional Medical Center Internal Medicine CurrentSince Nov 23, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Nov 28, 2023 Accepting new patients
Good Samaritan Health Center of Cobb CurrentSince Jul 1, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients

Locations

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1605 Roberta Dr SW
Marietta, GA 30008
Phone (770) 419-3120

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: taido@nmhs.medalliesdirect.net
  • Direct secure messaging: tdo1219733@direct.unitypoint.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1861021255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 TRACE RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301579578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CHURCH STREET",
            "address_2": "ATTN: GME",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-793-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "TAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "96086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.