KRISTIN SUE ANDERSON-TAYLOR (NPI# 1396805529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396805529 |
| Entity Type | Individual |
| Full Name | KRISTIN SUE ANDERSON-TAYLOR |
| Other Name | KRISTIN SUE ANDERSON-TAYLOR |
| Credential | P.A. |
| Practice Address |
411 Orchard Hill Rd Summerville GA 30747-6548 |
| Practice Telephone | 7069789991 |
| Mailing Telephone | 7069789991 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
022313 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6019 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002268 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1396805529 | 05 | |
| NY | 1396805529 | 05 |
| Street Address |
411 ORCHARD HILL RD |
| City | SUMMERVILLE |
| State | GA |
| Zip Code | 30747-6548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295162121 | Erin Marks Pledger | Counselor | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1124377700 | Vickie Darlene Hice | Occupational Therapist | 1079 Brooks Road, Summerville, GA 30747 | 2012-08-29 |
| 1033479340 | Magdana Philossaint | Social Worker | 9991 Commerce St., Summerville, GA 30747 | 2012-05-21 |
| 1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
| 1922118199 | Melissa June Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1871920710 | Tyler Wayne Pledger | Behavioral Analyst | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1750506622 | Patrick A Parrino | Dentist | 19 Walnut Ave, Summerville, GA 30747 | 2007-04-16 |
| 1811007099 | Richard Dennis Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1942310107 | Richard Keith Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1336339076 | Summerville Chiropractic, Inc. | Chiropractor | 74 Highway 48, Summerville, GA 30747-0424 | 2007-07-30 |
| Find all providers in zip 30747 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497707061 | Rosamond B Bentz | Physician Assistant | 9995 Miles Jamison Road, Summerville, SC 29485-8403 | 2006-05-16 |
| 1962946137 | Hayley Plant Bryan | Physician Assistant | 328 Midland Pkwy, Summerville, SC 29485-8102 | 2016-12-07 |
| 1053862789 | Emily Anne Miller | Physician Assistant | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2016-10-18 |
| 1487030052 | Molly Butler | Physician Assistant | 299 Midland Pkwy, Summerville, SC 29485-8104 | 2015-08-06 |
| 1750687091 | Amanda Nichols | Physician Assistant | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2011-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 30747 |
Please comment or provide details below to improve the information on KRISTIN SUE ANDERSON-TAYLOR.
| 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.