Active NPI
Taylor Hultz, FNP
- Primary Care Nurse Practitioner
- Lucedale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 906526
- Practice address
- 92 Ratliff St
Lucedale, MS 39452-6537 - Phone
- (601) 947-8181
- Fax
- (601) 947-4411
- NPI assigned
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 906526 | MS | Primary |
Addresses
Primary practice location
92 Ratliff St
Lucedale, MS 39452-6537
Mailing address
PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 947-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
92 Ratliff St
Suite a
Lucedale, MS 39452-6537
Phone (601) 947-4411
921 Cedar Lake Rd
Suite E
Biloxi, MS 39532-2126
Phone (228) 396-3945
Hospital & facility affiliations
- George Regional Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Services of the Gulf Coast LLC | Current | Accepting new patients | |
| Greene County Family Medical Clinic | Current | Accepting new patients | |
| Community Medical Center | Current | Accepting new patients | |
| Inpatient Physician Services | Current | Accepting new patients | |
| Wiggins Primary Care | Current | Accepting new patients | |
| Cooper Family Medical Center Inc. | Past | Accepting new patients | |
| George Regional Radiology | Past | Accepting new patients |
Locations
921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945
6652 U S Highway 98
Hattiesburg, MS 39402
1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820
92 Ratliff St
Lucedale, MS 39452
Phone (601) 947-1330
92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411
975 Hall St
Wiggins, MS 39577
Phone (601) 528-9119
Interoperability endpoints
- taylor.hultz.1@24353.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/IBHCBA
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Lucedale, MS
- NPI 1194734913
-
- Urgent Care Clinic/Center
- Biloxi, MS
- NPI 1366922023
-
- Rural Health Clinic/Center
- Leakesville, MS
- NPI 1689821126
-
- Rural Health Clinic/Center
- Wiggins, MS
- NPI 1740293257
-
- Hospitalist Physician
- Lucedale, MS
- NPI 1427363928
-
- Clinic/Center
- Pascagoula, MS
- NPI 1356478564
-
- Specialist
- Lucedale, MS
- NPI 1174775589
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1952166753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1007",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394521007",
"telephone_number": "601-947-1330",
"fax_number": "601-947-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 RATLIFF ST",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394526537",
"telephone_number": "601-947-8181",
"fax_number": "601-947-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULTZ",
"first_name": "TAYLOR",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MS",
"license": "906526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lucedale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.