NPIMap

Individual provider Active NPI

Alex P Taylor, M.D.

  • Family Medicine Physician
  • Norfolk, VA
National Provider Identifier
1881654192
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101231062 Issued in VA
Practice address
930 Majestic Ave
Suite 210
Norfolk, VA 23504-4055
Phone
(757) 622-0453
Fax
(757) 622-0455
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101231062 VA Primary

Addresses

Primary practice location

930 Majestic Ave
Suite 210
Norfolk, VA 23504-4055

Mailing address

930 Majestic Ave
Suite 210
Norfolk, VA 23504-4055
Phone (757) 622-0453

Other identifiers 1

IdentifierTypeStateIssuer
005646375MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000338 VA Practitioner - Family PracticePractitioner - Internal Medicine 2062495187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 Majestic Ave
Suite 210
Norfolk, VA 23504-4055
Phone (757) 622-0453

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101231062VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minority AIDS Support Services Inc CurrentSince Aug 23, 2023 Accepting new patients
Cardiology & Arrhythmia Consultants,Inc. Past Accepting new patients
Integrated Medical Services PLC Past Accepting new patients
Fort Norfolk Plaza Medical Associates, LLC Family Medicine Past Accepting new patients
Associated Behavioral Outcomes & Developmental Experts of VA, Inc. Past Accepting new patients

Locations

247 28th St
Ste 100
Newport News, VA 23607
Phone (757) 586-5243

2715 Huntington Ave
Newport News, VA 23607
Phone (757) 586-5243

Interoperability endpoints

  • Direct secure messaging: alex.taylor.1@29959.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1881654192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE",
            "address_2": "SUITE 210",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-622-0453",
            "fax_number": "757-622-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE",
            "address_2": "SUITE 210",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-622-0453",
            "fax_number": "757-622-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALEX",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101231062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005646375",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.