Individual provider Active NPI

Henry Alvin Taylor II, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hinesville, GA
National Provider Identifier
1861590754
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD 000649 Issued in GA
Practice address
127 Macarthur Dr
Hinesville, GA 31313-4410
Phone
(912) 876-8637
Fax
(912) 876-4069
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD 000649 GA Primary

Addresses

Primary practice location

127 Macarthur Dr
Hinesville, GA 31313-4410

Mailing address

127 Macarthur Dr
Hinesville, GA 31313-4410
Phone (912) 876-8637

Other practice location 1

910 E 70th St Ste B
Savannah, GA 31405-4831
Phone (912) 446-3824

Other identifiers 6

IdentifierTypeStateIssuer
10058163OtherGAAMERIGROUP
6486480001OtherGADMERC
636246997DMedicaidGA
341274OtherGAWELLCARE
P00144440OtherGARAILROAD MEDICARE
845505OtherGABLUE CROSS BLUE SHIELD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000522 GA Practitioner - Podiatry 8224925730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

1519 Laney Walker Blvd
Augusta, GA 30904-5827
Phone (803) 508-7517

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
63.47
Promoting interoperability
93
Improvement activities
40
Cost
87.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue155
Removal or shaving of skin growth125
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD 000649GAMDFoot & Ankle Surgery Podiatrist
1037TXMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Footcare, LLC Foot & Ankle Surgery CurrentSince Feb 15, 2022 Accepting new patients
Emanuel Foot & Ankle Assoc Foot & Ankle Surgery PastSince Jan 9, 2008 Accepting new patients
All Ways Feet, PC Past Accepting new patients

Locations

1519 Laney Walker Blvd
Augusta, GA 30904
Phone (706) 724-7000

127 MacArthur Dr
Hinesville, GA 31313
Phone (912) 446-3824

910 E 70th St
Ste B
Savannah, GA 31405
Phone (912) 352-3535

Interoperability endpoints

  • Direct secure messaging: henry.taylor.1@27654.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1861590754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MACARTHUR DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134410",
            "telephone_number": "912-876-8637",
            "fax_number": "912-867-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MACARTHUR DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134410",
            "telephone_number": "912-876-8637",
            "fax_number": "912-876-4069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E 70th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054831",
            "country_code": "US",
            "telephone_number": "912-446-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "HENRY",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD 000649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10058163",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6486480001",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636246997D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "341274",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00144440",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "845505",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.