Individual provider Active NPI

Garry L Taylor, MD

  • Specialist
  • Middleburg, FL
National Provider Identifier
1982661484
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME48911 Issued in FL
Practice address
1658 St. Vincent's Way
Suite 300
Middleburg, FL 32068-8431
Phone
(904) 276-5100
Fax
(904) 276-5393
NPI assigned
Apr 27, 2006
Last updated
May 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME48911 FL Primary

Addresses

Primary practice location

1658 St. Vincent's Way
Suite 300
Middleburg, FL 32068-8431

Mailing address

1658 St. Vincent's Way
Suite 300
Middleburg, FL 32068-8431
Phone (904) 276-5100

Other identifiers 1

IdentifierTypeStateIssuer
044286100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000306 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204983273 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Mar 1, 2012 Accepting new patients
Cardiology Interpreters Inc CurrentSince May 12, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 1, 2012 Accepting new patients
Ecg Associates of Jacksonville P a CurrentSince Feb 6, 2013 Accepting new patients
Amy Townsend MD PA Past Accepting new patients
Southern Heart Group, P.a. Specialist Past Accepting new patients
Cardiovascular Associates of Jacksonville PA Past Accepting new patients
Southern Heart Group Past Accepting new patients
Memorial Ekg Associates Past Accepting new patients

Locations

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

1658 St Vincents Way
Ste 300
Middleburg, FL 32068
Phone (904) 276-5100

2021 Kingsley Ave
Ste 104
Orange Park, FL 32073
Phone (904) 276-5100

2300 Park Ave
Ste 101B
Orange Park, FL 32073
Phone (904) 249-4888

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1982661484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 ST. VINCENT'S WAY",
            "address_2": "SUITE 300",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688431",
            "telephone_number": "904-276-5100",
            "fax_number": "904-276-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST. VINCENT'S WAY",
            "address_2": "SUITE 300",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688431",
            "telephone_number": "904-276-5100",
            "fax_number": "904-276-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME48911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044286100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.