Individual provider Active NPI

Gregory Clay Taylor, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Stockbridge, GA
National Provider Identifier
1871595843
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000640 Issued in GA
Practice address
1769 Rock Quarry Rd
Stockbridge, GA 30281-9019
Phone
(770) 474-4395
Fax
(770) 474-7861
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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 000640 GA Primary

Addresses

Primary practice location

1769 Rock Quarry Rd
Stockbridge, GA 30281-9019

Mailing address

1975 Highway 54 W
Suite 205
Peachtree City, GA 30269-4794
Phone (678) 561-9000

Other identifiers 2

IdentifierTypeStateIssuer
202I489461OtherGAMEDICARE PTAN
000494491DMedicaidGA

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
I20110214000620 GA Practitioner - Podiatry 0244344216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

Practice addresses (Care Compare)

1975 Hwy 54 W
Peachtree City, GA 30269-4794

7130 Mount Zion Blvd
Suite 13
Jonesboro, GA 30236-2566
Phone (770) 478-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
88.21
Promoting interoperability
100
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of skin lesions1-10
Removal of nail tissue102
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
640GAMDPhlebology Physician
000640GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients
Ankle and Foot Center of Georgia,LLC Past Accepting new patients

Locations

644 N Chase St
Ste 100
Athens, GA 30601
Phone (770) 487-6716

265 N Jeff Davis Dr
Fayetteville, GA 30214
Phone (770) 460-7600

7130 Mount Zion Blvd
Ste 13
Jonesboro, GA 30236
Phone (770) 478-3668

1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668

1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000

1767 Rock Quarry Rd
Stockbridge, GA 30281
Phone (770) 474-4395

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1871595843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W",
            "address_2": "SUITE 205",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "678-561-9000",
            "fax_number": "770-487-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819019",
            "telephone_number": "770-474-4395",
            "fax_number": "770-474-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GREGORY",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I489461",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000494491D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.