TAYLOR REGIONAL HOSPITAL (NPI# 1619228046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619228046 |
| Entity Type | Organization |
| Organization Name | TAYLOR REGIONAL HOSPITAL |
| Other Organization Name | TAYLOR PHYSICIANS PRACTICE # 17 |
| Practice Address |
2809 Pine St Suite 102 Unadilla GA 31091-7701 |
| Mailing Address |
Po Box 1297 Hawkinsville GA 31036-7297 |
| Practice Telephone | 4786273004 |
| Practice Fax Number | 4786273669 |
| Mailing Telephone | 4787830200 |
| Mailing Fax Number | 4787832731 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | JONATHON GREEN (COO) |
| Authorized Official Telephone | 4787830200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Taylor Physicians Practice # 17 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922577428 | Taylor Regional Hospital | Clinic/Center | 222 Perry Hwy Ste 205, Hawkinsville, GA 31036-6748 | 2018-11-14 |
| 1962800052 | Taylor Regional Hospital | Skilled Nursing Facility | 277 Commerce St, Hawkinsville, GA 31036-8415 | 2014-12-05 |
| 1245678531 | Taylor Regional Hospital | Internal Medicine | 202 Perry Hwy Ste 101, Hawkinsville, GA 31036-6748 | 2013-06-07 |
| 1801147111 | Taylor Regional Hospital | Pediatrics | 173 W Dykes St, Cochran, GA 31014-6921 | 2012-09-26 |
| 1003166851 | Taylor Regional Hospital | Podiatrist | 1303 E Union St, Suite 101, Vienna, GA 31092-7540 | 2012-09-19 |
| 1750630588 | Taylor Regional Hospital | Podiatrist | 792 1st Ave, Rochelle, GA 31079-2018 | 2012-09-07 |
| 1225387046 | Taylor Regional Hospital | Podiatrist | 1318 College St, Eastman, GA 31023-7126 | 2012-09-07 |
| 1699862953 | Taylor Regional Hospital | Durable Medical Equipment & Medical Supplies | 222 Perry Highway, Hawkinsville, GA 31036-6738 | 2006-10-06 |
| 1912008533 | Taylor Regional Hospital | Nursing Care | 188 Perry Hwy Ste 1, Hawkinsville, GA 31036-6738 | 2006-09-26 |
| 1275036568 | Taylor Regional Hospital | Pediatrics | 792 1st Ave, Rochelle, GA 31079-2018 | 2018-03-13 |
| Street Address |
2809 PINE ST SUITE 102 |
| City | UNADILLA |
| State | GA |
| Zip Code | 31091-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043526460 | Kimberly Crump Johnson | Nurse Practitioner | 2809 Pine St, Unadilla, GA 31091-7701 | 2010-08-23 |
| 1972852960 | Taylor Regional Hospital | Clinic/Center | 2809 Pine St, Ste 101, Unadilla, GA 31091-7701 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326346974 | Dhara Patel | Pharmacist | 413 2nd St, Unadilla, GA 31091 | 2011-03-07 |
| 1760656060 | Healthcare of Unadilla LLC | Family Medicine | 2900 Pine Street, Unadilla, GA 31091 | 2008-04-17 |
| 1366645699 | Vinod Kumar Sachdeva | Family Medicine | 1412 Plunkett Rd., Dooly Sp, Unadilla, GA 31091 | 2007-06-06 |
| 1285765552 | Mcmahan Pharmacy, Inc | Pharmacy | 413 Second St, Us Hwy 41-s, Unadilla, GA 31091 | 2007-03-08 |
| 1811032030 | Leisure Life Care Home Inc | Assisted Living Facility | 301 Beacham Street, Unadilla, GA 31091 | 2007-02-21 |
| 1417064544 | Stephen Raymond Byrd | Dentist | 2755 Highway 41 North, Unadilla, GA 31091 | 2006-08-24 |
| 1164465787 | Unadilla Health Care Center Inc | Public Health or Welfare | 2858 Pine Street, Unadilla, GA 31091 | 2006-06-13 |
| 1245675073 | Unadilla Drug Company Inc | Pharmacy | 413 Second St, Unadilla, GA 31091 | 2013-05-07 |
| 1053458190 | Unadilla Health Care Center Inc | Family Medicine | 2858 Pine Street, Unadilla, GA 31091 | 2007-01-30 |
| 1508934563 | Marian A Conway | Nurse Practitioner | 2858 Pine Street, Unadilla, GA 31091 | 2006-11-30 |
| Find all providers in zip 31091 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
| 1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
| 1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| 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.