NPIMap

Organization Active NPI

Samuel Taylor, M.D.

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Valdosta, GA
National Provider Identifier
1962621995
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
22479 Issued in GA
Legal business name
SAMUEL TAYLOR, M.D.
Practice address
2601 Bemiss Rd
Suite a
Valdosta, GA 31602-1445
Phone
(229) 242-6677
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Samuel Taylor, M.D.NPI 1164436788
Title
Owner
Phone
(229) 242-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VH0002X 22479 GA Primary

Addresses

Primary practice location

2601 Bemiss Rd
Suite a
Valdosta, GA 31602-1445

Mailing address

PO Box 2737
Valdosta, GA 31604-2737
Phone (229) 242-6677

Other identifiers 1

IdentifierTypeStateIssuer
00261049DMedicaidGA

Other names 1

  • Comprehensive Women's Health Doing business as

National Provider Directory

National Provider Directory

Locations

2601 Bemiss Rd
Ste A
Valdosta, GA 31602
Phone (229) 242-6677

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1962621995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2737",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316042737",
            "telephone_number": "229-242-6677",
            "fax_number": "229-242-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BEMISS RD",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021445",
            "telephone_number": "229-242-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL TAYLOR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-242-6677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "22479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00261049D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.