MRS. SHALU R TAYLOR (NPI# 1659356038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659356038 |
| Entity Type | Individual |
| Full Name | MRS. SHALU R TAYLOR |
| Credential | WHNP |
| Practice Address |
616 Ferncrest Dr Sandersville GA 31082-1863 |
| Practice Telephone | 4785531620 |
| Practice Fax Number | 4788641288 |
| Mailing Telephone | 4785531620 |
| Mailing Fax Number | 4788641288 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN174968 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA LICENSE | RN174968 | 01 |
| GA | 994260837B | 05 | |
| GA | 994260837A | 05 |
| Street Address |
616 FERNCREST DR |
| City | SANDERSVILLE |
| State | GA |
| Zip Code | 31082-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861666455 | Community Health Care Systems Inc | Clinic/Center | 616 Ferncrest Dr, Sandersville, GA 31082-1863 | 2008-04-15 |
| 1508045840 | Shannon Etheridge Whitten | Nurse Practitioner | 616 Ferncrest Dr, Sandersville, GA 31082-1863 | 2007-11-02 |
| 1174728349 | Nora Marie Hall | Nurse Practitioner | 616 Ferncrest Dr, Sandersville, GA 31082-1863 | 2007-06-18 |
| 1194797811 | Kent D Ford | Family Medicine | 616 Ferncrest Dr, Sandersville, GA 31082-1863 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033613724 | Keith B Thompson | Driver | 417 W Haynes St, Sandersville, GA 31082 | 2018-03-19 |
| 1922451079 | Thomas A Curry | Pharmacist | 514 Washington Avenue, Sandersville, GA 31082 | 2016-07-13 |
| 1770952574 | Cynthia J. Roche | Physical Therapist | 618 Ferncrest Drive, Sandersville, GA 31082 | 2015-09-22 |
| 1376948109 | Solomon Agyeman | Physical Therapist | 610 Sparta Wood, Sandersville, GA 31082 | 2014-10-22 |
| 1649472036 | John R. Clements | Dentist | 106 W 2nd Ave, Sandersville, GA 31082 | 2007-06-05 |
| 1821214271 | John W Dickey | Dentist | 201 Medical Arts Drive, Sandersville, GA 31082 | 2007-04-17 |
| 1346340320 | Mark R Harvey Md PC | Internal Medicine | 203 Medical Arts Pl, Suite 3, Sandersville, GA 31082 | 2006-09-22 |
| 1932202694 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 206 S Harris St, Sandersville, GA 31082 | 2006-09-07 |
| 1053421172 | Mark R Harvey | Internal Medicine | 203 Medical Arts Place, Suite 3, Sandersville, GA 31082 | 2006-08-30 |
| 1093757239 | Parrin Tareyl Barton | Family Medicine | 610 Ferncrest Drive, Sandersville, GA 31082 | 2006-06-12 |
| Find all providers in zip 31082 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1336766476 | Nadine L Donahue | Nurse Practitioner | 1703 Oglethorpe Dr Ne, Brookhaven, GA 30319-2791 | 2020-07-05 |
| 1003465337 | Kaitlin Wilson | Nurse Practitioner | 5195 Jimmy Carter Blvd, Norcross, GA 30093-1649 | 2019-09-09 |
| 1912555939 | Erika Parks | Nurse Practitioner | 81 Upper Riverdale Rd Sw Ste 210, Riverdale, GA 30274-2627 | 2019-09-03 |
| 1427600469 | Kytrena L Harris | Nurse Practitioner | 232 Seaton Ave, Grovetown, GA 30813-4259 | 2019-07-10 |
| 1720640162 | Sonya Coutee Wallace | Nurse Practitioner | 3200 Highlands Pkwy Se Ste 420, Smyrna, GA 30082-5192 | 2019-07-06 |
| 1134783152 | Julia Coleman Quinn | Nurse Practitioner | 220 Cobb Pkwy N Ste 500, Marietta, GA 30062-3580 | 2019-04-24 |
| 1144782749 | Keely Darnell | Nurse Practitioner | 133 Samaritan Dr Ste 306, Cumming, GA 30040-2396 | 2019-04-02 |
| 1578020103 | Stacey Leigh Newpher | Nurse Practitioner | 960 Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1601 | 2019-03-01 |
| 1144702226 | Veneah Shante Hall | Nurse Practitioner | 440 Moreland Ave Se, Atlanta, GA 30316-1926 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | SANDERSVILLE |
| Zip Code | 31082 |
Please comment or provide details below to improve the information on MRS. SHALU R 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.