DR. JEREMY TAYLOR


Address: 971 Lakeland Dr Ste 450, Jackson, MS 39216-4615
Phone: 6013264255

DR. JEREMY TAYLOR (NPI# 1356605752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356605752
Entity Type Individual
Full Name DR. JEREMY TAYLOR
Credential M.D.
Practice Address 971 Lakeland Dr Ste 450
Jackson
MS 39216-4615
Mailing Address 2500 N State St
Department of Medicine
Jackson
MS 39216-4500
Practice Telephone 6013264255
Practice Fax Number 6013264865
Mailing Telephone 6019845604
Mailing Fax Number 6019846665
Enumeration Date 2012-06-29
Last Update Date 2018-06-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 23700 MS Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
23700 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE 23700 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2500 N State St, Department of Medicine, Jackson, MS 392164500 6019845604 6019846665

Other Providers JEREMY TAYLOR

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1184152654 Jeremy Taylor Dentist 481 S High St, Cortland, OH 44410 2017-05-30
1205297801 Jeremy Taylor Specialist/Technologist 3833 Stone Ridge Dr, Traverse City, MI 49684-7219 2016-03-10
1912364092 Jeremy Taylor Specialist/Technologist, Other 1050 Whitney Ranch Dr Apt 216, Henderson, NV 89014-2541 2016-01-20
1912377227 Jeremy Taylor Counselor 3325 Cheverny Cir, Shreveport, LA 71118 2015-09-29
1467752329 Jeremy J Taylor Chiropractor 2600 Alemeda St Ste 201, Fort Worth, TX 76108-4042 2010-10-26
1700867983 Jeremy Wade Taylor Optometrist 2207 Portland Rd Ste A, Newberg, OR 97132-1371 2005-11-07
1346804903 Jeremy Taylor Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2019-04-29
1992272868 Jeremy Taylor Counselor 2775 State Route 39, Shelby, OH 44875-9466 2018-10-30
1295189991 Jeremy Taylor Internal Medicine 420 Delaware St Se, Mmc 913, Minneapolis, MN 55455-0341 2016-04-19
1770981334 Jeremy Taylor Nurse Anesthetist, Certified Registered 2105 E South Blvd, Montgomery, AL 36116-2409 2014-12-15

Office Location

Street Address 971 LAKELAND DR STE 450
City JACKSON
State MS
Zip Code 39216-4615

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740549864 Soemiwati Weidris Holland Internal Medicine 27 S Cooks Bridge Rd Ste 2-5, Jackson, NJ 08527-2524 2012-05-09
1275543175 Clemente V. Zulueta, Jr., Md, Pllc Internal Medicine 95 Jackson Hts, Ste 201, Jackson, KY 41339-6500 2006-08-09
1477563104 Amanda Reagan Schiefer Internal Medicine 971 Lakeland Drive, Jackson, MS 39126 2006-08-08
1790222651 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30
1134671787 Jackson Thyroid & Endocrine Clinic Pllc Internal Medicine 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 2016-10-31
1154733392 Jamie L Brewer Internal Medicine 971 Lakeland Dr, Suite 450, Jackson, MS 39216-4643 2014-05-22
1841601861 Adrienne Webb Maier Internal Medicine 1200 N State St Ste 500, Jackson, MS 39202-2027 2014-05-13
1033494372 Leap One Enterprise Pllc Internal Medicine 5160 Galaxie Dr, Jackson, MS 39206-4308 2011-10-19
1356638845 Christina C. Glover Internal Medicine 1200 N State St, Suite 500, Jackson, MS 39202-2000 2011-07-05
1023323029 Vanessa L. Sandifer, M.d., Pllc Internal Medicine 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 2010-08-13
Find all providers in JACKSON

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City JACKSON
Zip Code 39216

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Dataset Information

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.

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