Individual provider Active NPI

Dwayne Taylor, NP

  • Adult Health Nurse Practitioner
  • Macon, GA
National Provider Identifier
1922486539
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN201624 Issued in GA
Practice address
3708 Northside Dr BLDG B
Macon, GA 31210-2404
Phone
(478) 633-6115
Fax
(478) 633-1947
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN201624 GA Primary

Addresses

Primary practice location

3708 Northside Dr BLDG B
Macon, GA 31210-2404

Mailing address

3708 Northside Dr BLDG B
Macon, GA 31210-2404
Phone (478) 633-6115

Other identifiers 1

IdentifierTypeStateIssuer
RN201624OtherGAGA NP LICENSE

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000853 GA Practitioner - Nurse Practitioner 7719298330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center of Central Georgia Inc. Current Accepting new patients
The Medical Center of Central Georgia Inc CurrentSince Sep 2, 2023 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince May 1, 2015 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

770 Hemlock St
Ste 2
Macon, GA 31201

840 Pine St
Ste 500
Macon, GA 31201
Phone (478) 633-8060

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

3708 Northside Dr
Bldg B
Macon, GA 31210
Phone (478) 633-6115

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

2490 Riverside Dr
Ste B
Macon, GA 31204
Phone (478) 633-6633

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Organizations & group practices 4

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1922486539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR BLDG B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-633-6115",
            "fax_number": "478-633-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR BLDG B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-633-6115",
            "fax_number": "478-633-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DWAYNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN201624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA NP LICENSE",
            "identifier": "RN201624",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.