JESSICA ANN TAYLOR (NPI# 1083197107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083197107 |
| Entity Type | Individual |
| Full Name | JESSICA ANN TAYLOR |
| Credential | PA-C |
| Practice Address |
19 Lester Rd Statesboro GA 30458-2119 |
| Practice Telephone | 9126626501 |
| Mailing Telephone | 9126626501 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9475 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | C06942 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND BOARD OF PHYSICIANS | C06942 | 01 |
| GA | GEORGIA COMPOSITE MEDICAL BOARD | 9475 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7377 Washington Blvd Ste 101, Elkridge, MD 210756360 | 4103793051 | |
| 755 Lawrenceville Suwanee Rd Ste 1600, Lawrenceville, GA 300437345 | 7709951500 | |
| 109 Minus Ave Ste C10, Garden City, GA 314082130 | 9129665445 | |
| 220 Cobb Pkwy N, Marietta, GA 300623581 | 7704247125 | 7704247127 |
| 688 Spring St Nw, Atlanta, GA 303081934 | 4048811155 | 4048819875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512799 | Jessica Eve Taylor | Nurse Practitioner | 1013 University Blvd Ste 270, Suffolk, VA 23435-3900 | 2020-09-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1811513179 | Jessica Anne Taylor | Behavior Technician | 14340 Westminister Ln Apt 8, Woodbridge, VA 22193-2818 | 2020-06-23 |
| 1043870272 | Jessica Taylor | Optometrist | 351 Loucks Rd Ste B3, York, PA 17404-1782 | 2019-06-19 |
| 1801361324 | Jessica R Taylor | Counselor | 702 N Grand St # Po152, Enid, OK 73701-3221 | 2018-10-11 |
| 1932684370 | Jessica Marie Taylor | Specialist/Technologist | 18 Ebenezar Ln, Brewster, MA 02631-2802 | 2018-10-02 |
| 1992288138 | Jessica Suzanne Taylor | Home Health Aide | 421 Margaret St Apt 51, Pahrump, NV 89048-0858 | 2018-09-13 |
| 1437648615 | Jessica Bliss Taylor | Massage Therapist | 313 E Woodin Ave, Chelan, WA 98816 | 2018-05-03 |
| 1093210841 | Jessica V Taylor | Social Worker | 1420 Shepherd St Nw, Washington, DC 20011-5409 | 2018-03-26 |
| 1033625025 | Jessica Taylor | Registered Nurse | 44 W Center Ave, Lake Bluff, IL 60044-2408 | 2017-12-28 |
| Street Address |
19 LESTER RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619054459 | Regina G Cody | Registered Nurse | 19 Lester Rd, Statesboro, GA 30458-2119 | 2006-11-01 |
| 1073981999 | Dps Health and Wellness | Psychiatry & Neurology | 19 Lester Rd, Statesboro, GA 30458-2119 | 2015-09-09 |
| 1942333158 | David P Samuels | Psychiatry & Neurology | 19 Lester Rd, Statesboro, GA 30458-2119 | 2007-03-14 |
| 1558432757 | Kim Hulsey | Social Worker | 19 Lester Rd, Statesboro, GA 30458-2119 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265783260 | Neil Wesley Wilkerson | Physician Assistant | 1497 Fair Road, Suite 204, Statesboro, GA 30458 | 2012-10-01 |
| 1386919405 | Lauren Sack | Physician Assistant | 16915 Highway 67 Ste A, Statesboro, GA 30458-5819 | 2012-03-22 |
| 1245502269 | Toni Lynn Herring | Physician Assistant | 1161 Saralyn Ln, Suite A, Statesboro, GA 30461-7992 | 2012-02-07 |
| 1164530069 | Kathryn Ann Thatcher | Physician Assistant | 4002 Forest Dr, Statesboro, GA 30460-0001 | 2006-08-29 |
| 1144257379 | Karri O Ray | Physician Assistant | 1497 Fair Rd Ste 102, Statesboro, GA 30458 | 2006-06-26 |
| 1629634886 | Brittany Warren | Physician Assistant | 117 Hill Pond Ln, Statesboro, GA 30458 | 2019-05-14 |
| 1982168415 | Loretta Church | Physician Assistant | 1570 Brampton Ave, Statesboro, GA 30458-0855 | 2019-01-29 |
| 1013496439 | Jaimi Patel | Physician Assistant | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2018-08-07 |
| 1619493517 | Cody Robert Ward | Physician Assistant | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2017-08-22 |
| 1942675491 | Jason Evans | Physician Assistant | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2015-12-09 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.