MR. LARRY LEE TAYLOR JR. (NPI# 1225665946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225665946 |
| Entity Type | Individual |
| Full Name | MR. LARRY LEE TAYLOR JR. |
| Credential | NP |
| Practice Address |
1805 Tift Ave N Ste D Tifton GA 31794-3579 |
| Mailing Address |
737 Donna Ave Ashburn GA 31714-3445 |
| Practice Telephone | 5554229382 |
| Mailing Telephone | 2294579598 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN214375 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215232228 | Larry Taylor | Pharmacist | 52482 State Road 933, South Bend, IN 46637-3852 | 2011-01-21 |
| 1457505802 | Larry Taylor | Counselor | 2795 Ne Cleveland Ave, Gresham, OR 97030 | 2008-11-12 |
| 1457386609 | Larry Edward Taylor | Specialist | 1705 Forest Dr, Corbin, KY 40701-2354 | 2006-07-12 |
| 1528010139 | Larry R. Taylor | Nurse Anesthetist, Certified Registered | 2407 Wimbledon Dr, Arlington, TX 76017 | 2006-05-16 |
| 1770552077 | Larry Wayne Taylor | Family Medicine | 6554 Aaron Dr, Fairfield, AL 35214 | 2006-03-17 |
| 1518968577 | Larry J Taylor | Optometrist | 3031 Flint Hills Dr, Burlington, IA 52601-0696 | 2005-08-02 |
| 1255972667 | Larry Lee Taylor | Audiologist | 6535 N Charles St Ste 250, Baltimore, MD 21204-5829 | 2019-10-07 |
| 1497243109 | Larry Taylor | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2018-04-27 |
| 1326434945 | Larry James Taylor II | Occupational Therapist | 273 E Beverly Blvd, Montebello, CA 90640-3775 | 2015-04-09 |
| 1154742880 | Larry E Taylor | Psychologist | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-24 |
| Street Address |
1805 TIFT AVE N STE D |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265720668 | Careconnect Health, Inc. | Clinic/Center | 1805 Tift Ave N Ste D, Tifton, GA 31794-3579 | 2011-07-19 |
| 1467014167 | Brandi Moorman | Nurse Practitioner | 1805 Tift Ave N Ste D, Tifton, GA 31794-3579 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| 1629440607 | Larry Day | Nurse Practitioner | 1430 Us Highway 82 W, Suite 105, Tifton, GA 31793-8011 | 2015-10-29 |
| 1831566462 | Linsey Brooke Bennett | Nurse Practitioner | 1909 Us Highway 82 W Ste 5, Tifton, GA 31793-8213 | 2015-08-31 |
| 1295063956 | Fran Mcpherson | Nurse Practitioner | 2201 Rutland Rd, Tifton, GA 31793-5026 | 2009-11-18 |
| 1215189865 | Cindia Poole Dubravcic | Nurse Practitioner | 2802 Moore Hwy, Abac, Tifton, GA 31793-5679 | 2008-10-15 |
| 1184731564 | Priscilla R Greene | Nurse Practitioner | 1807 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-08-23 |
| 1285234245 | Tarah Wilson | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2020-10-29 |
| 1568008787 | Molly Bailey | Nurse Practitioner | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2019-11-22 |
| 1346881703 | Alicia Kaye Cox | Nurse Practitioner | 1909 Us Highway 82 W Ste 5, Tifton, GA 31793-8213 | 2019-10-07 |
| Find all providers in TIFTON | ||||
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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.