KELLY ELIZABETH TAYLOR (NPI# 1326388430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326388430 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH TAYLOR |
| Other Name | KELLY COLEMAN COLEMAN |
| Credential | ANP |
| Practice Address |
541 Historic Hwy 441 N Demorest GA 30535-0037 |
| Mailing Address |
Po Box 658 Gainesville GA 30503-0658 |
| Practice Telephone | 7702197078 |
| Practice Fax Number | 7702197365 |
| Mailing Telephone | 7707181122 |
| Mailing Fax Number | 7705357445 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
RN184594 | GA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN184594 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003131770B | 05 | |
| GA | 003131770C | 05 | |
| GA | 003131770A | 05 | |
| GA | AMERIGROUP | 01796153 | 01 |
| GA | WELLCARE | 765694 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Jesse Jewell Pkwy Se, Gainesville, GA 305013834 | 7705350191 | 7705350916 |
| 801 Austin Dr, Demorest, GA 305354513 | 7067548066 | 7067548086 |
| 835 Austin Dr, Demorest, GA 305354513 | 7067548518 | 7067546238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447816269 | Kelly Taylor | Occupational Therapy Assistant | 560 Winona Blvd, Rochester, NY 14617-3422 | 2019-05-16 |
| 1023417342 | Kelly Taylor | Speech-Language Pathologist | 3980 Hamilton Cleves Rd, Hamilton, OH 45013-5540 | 2014-08-22 |
| 1376950220 | Kelly Ann Taylor | Pharmacist | 1357 N Hickory Creek Ct, Wichita, KS 67235-7008 | 2014-07-11 |
| 1356753354 | Kelly Lynne Taylor | Social Worker | 333120 E Shady Meadows Dr, Wellston, OK 74881-7101 | 2014-05-24 |
| 1306969050 | Kelly Shea Taylor | Speech-Language Pathologist | 8923 Azalea Pointe, San Antonio, TX 78255-2427 | 2007-04-09 |
| 1467403253 | Kelly Eldon Taylor | Dentist | 860 S 2nd Ave, Suite A, Walla Walla, WA 99362-4072 | 2006-05-15 |
| 1649241357 | Kelly Ann Taylor | Genetic Counselor, MS | 1500 21st Ave S Ste 2500, Nashville, TN 37212-3157 | 2006-01-30 |
| 1578557617 | Kelly L Taylor | Chiropractor | 6149 Saltsburg Rd Ste 103, Verona, PA 15147-3549 | 2005-09-05 |
| 1386254696 | Kelly Taylor | Speech-Language Pathologist | 4500 E Cherry Creek South Dr Ste 710, Denver, CO 80246-1534 | 2020-08-03 |
| 1184242380 | Kelly Taylor | Hearing Instrument Specialist | 5350 E Broadway Blvd Ste 108, Tucson, AZ 85711-3722 | 2020-07-14 |
| Street Address |
541 HISTORIC HWY 441 N |
| City | DEMOREST |
| State | GA |
| Zip Code | 30535-0037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795864 | Lance M Johnson | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2006-07-20 |
| 1639604986 | The Hospital Authority of Habersham County | Family Medicine | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2017-04-25 |
| 1548644586 | The Hospital Authority of Habersham County | Pharmacy | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-07-18 |
| 1396136107 | Brandon Taylor | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-02-16 |
| 1063801470 | William E Garry | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-01-22 |
| 1528457702 | Joshua Scott Newby | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-01-12 |
| 1922411081 | Jeffrey Scott Brady | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2014-06-06 |
| 1205270709 | Jonathan C Griggs | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2013-04-26 |
| 1134493596 | Thomas A Opilka | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2012-03-02 |
| 1376816363 | Brandon S Reddock | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2012-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353355 | Kristen Diana Maxwell X | Nurse Practitioner | 396 Historic Highway 441 North, Demorest, GA 30535 | 2020-07-16 |
| 1659925972 | Jared Davis | Physical Therapist | 541 Historic Hiwy 441, Demorest, GA 30535 | 2019-07-25 |
| 1669939070 | Habersham Medical Center Foundation, Inc. | Pharmacy | 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 | 2019-02-22 |
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1578077434 | Linh My Dao | Registered Nurse | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2017-11-29 |
| 1447797063 | Cmvo, LLC | Pharmacy | 4654 Highway 115, Unit 1, Demorest, GA 30535 | 2017-01-20 |
| 1851741128 | Katherine Glenn | Physical Therapy Assistant | 541 Us-441 Bus, Demorest, GA 30535 | 2016-06-17 |
| 1558735886 | Waterfall Emergency Physicians, LLC | Physician Assistant | 541 Historic Hwy 441n, Demorest, GA 30535 | 2015-11-24 |
| 1407278237 | Deborah Gale | Pharmacist | 116 Savannah Ter, Demorest, GA 30535 | 2014-01-14 |
| 1538580576 | Garrett Family Medicine, LLC | Family Medicine | 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 | 2013-12-18 |
| Find all providers in zip 30535 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.