Individual provider Active NPI

Joseph G Taylor, M.D.

  • Family Medicine Physician
  • Hendersonville, TN
National Provider Identifier
1992770929
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M16446 Issued in TN
Practice address
264 New Shackle Island Rd
Suite 107
Hendersonville, TN 37075-2481
Phone
(615) 824-4244
Fax
(615) 824-5916
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M16446 TN Primary

Addresses

Primary practice location

264 New Shackle Island Rd
Suite 107
Hendersonville, TN 37075-2481

Mailing address

264 New Shackle Island Rd
Suite 107
Hendersonville, TN 37075-2481
Phone (615) 824-4244

Other identifiers 1

IdentifierTypeStateIssuer
3018181MedicaidTN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M16446TNMDFamily Medicine Physician
16446TNMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: joseph.taylor.1@27394.direct.athenahealth.com
  • Direct secure messaging: joseph.taylor.1@17956.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1992770929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 107",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752481",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 107",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752481",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "M16446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3018181",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.