Individual provider Active NPI

Taylor Hultz, FNP

  • Primary Care Nurse Practitioner
  • Lucedale, MS
National Provider Identifier
1952166753
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
906526 Issued in MS
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

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322000186 MS Practitioner - Nurse Practitioner 6709223001 Reassigns benefits to 4 organizations

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
Community Medical CenterGroup PAC ID 8921072588, 17 clinicians
Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians

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 Hospital, Lucedale, MS, CCN 250036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services of the Gulf Coast LLC CurrentSince Jul 1, 2025 Accepting new patients
Greene County Family Medical Clinic CurrentSince Feb 19, 2024 Accepting new patients
Community Medical Center CurrentSince Feb 19, 2024 Accepting new patients
Inpatient Physician Services CurrentSince Feb 19, 2024 Accepting new patients
Wiggins Primary Care CurrentSince Feb 19, 2024 Accepting new patients
Cooper Family Medical Center Inc. PastSince Sep 17, 2011 Accepting new patients
George Regional Radiology PastSince Feb 19, 2024 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

  • Direct secure messaging: taylor.hultz.1@24353.direct.athenahealth.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.