Active NPI
Tabitha Marie Taylor, NP
- Family Medicine Physician
- Columbus, GA
National Provider Identifier
1962059402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RN231252
- Practice address
- 1538 13TH Ave
Suite C-200
Columbus, GA 31901 - Phone
- (706) 320-2547
- NPI assigned
- Aug 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | RN231252 | GA | |
| Family Medicine Physician | 207Q00000X | RN231252 | GA | Primary |
Addresses
Primary practice location
1538 13TH Ave
Suite C-200
Columbus, GA 31901
Mailing address
578 Richardson Rd
Fortosn, GA 31808
Phone (386) 288-5604
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kayw@midtownob.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN231252 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rrsoc LLC | Current | Accepting new patients | |
| Serena D. Tidwell, M.D., P.C. | Current | Accepting new patients |
Locations
1538 13th Ave
Ste C200
Columbus, GA 31901
Phone (706) 320-2547
Organizations & group practices 2
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.
-
- Body Imaging Physician
- Columbus, GA
- NPI 1295445237
-
- Point of Service
- Columbus, GA
- NPI 1689759581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1962059402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 RICHARDSON RD",
"city": "FORTOSN",
"state": "GA",
"postal_code": "31808",
"telephone_number": "386-288-5604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1538 13TH AVE",
"address_2": "SUITE C-200",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31901",
"telephone_number": "706-320-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TABITHA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "RN231252",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "RN231252",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayw@midtownob.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1538 13th Ave",
"address_2": "Suite C-200",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "31901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.