DWAYNE TAYLOR (NPI# 1922486539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922486539 |
| Entity Type | Individual |
| Full Name | DWAYNE TAYLOR |
| Credential | NP |
| Practice Address |
3708 Northside Dr Bldg B Macon GA 31210-2404 |
| Practice Telephone | 4786336115 |
| Practice Fax Number | 4786331947 |
| Mailing Telephone | 4786336115 |
| Mailing Fax Number | 4786331947 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN201624 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA NP LICENSE | RN201624 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231463 | Dwayne Taylor | Social Worker | 4328 Rushmore Pl, Forest Park, GA 30297-1024 | 2015-12-22 |
| Street Address |
3708 NORTHSIDE DR BLDG B |
| City | MACON |
| State | GA |
| Zip Code | 31210-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730682048 | Qualivia Hawkins Cummings | Nurse Practitioner | 153 Heathwood Dr, Macon, GA 31206-5282 | 2018-03-13 |
| 1063952471 | Michelle Howard | Nurse Practitioner | 237 Coliseum Dr, Macon, GA 31217-3805 | 2017-03-03 |
| 1932278744 | Diane M. Craine | Nurse Practitioner | 4226 Hartley Bridge Rd, Suite 104, Macon, GA 31216-4115 | 2006-11-07 |
| 1538138813 | Sheryl Hall Winn | Nurse Practitioner | 100 College Station Dr, Macon, GA 31206-5100 | 2006-03-17 |
| 1760043608 | Emily Birdsong | Nurse Practitioner | 310 Hospital Dr Ste 205, Macon, GA 31217-8025 | 2019-06-21 |
| 1760948434 | Sandra Bernette Broomfield | Nurse Practitioner | 575 1st St, Macon, GA 31201-2825 | 2019-02-18 |
| 1164995171 | Meredith Fleenor | Nurse Practitioner | 3356 Vineville Ave, Macon, GA 31204-2328 | 2019-01-03 |
| 1811429988 | James Shinholster Jr. | Nurse Practitioner | 777 Hemlock St, Msc10, Macon, GA 31201-2102 | 2017-03-29 |
| 1164973327 | Patricia Tarver | Nurse Practitioner | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-10-21 |
| 1235685959 | Lanita James | Nurse Practitioner | 770 Walnut St, Macon, GA 31201-7307 | 2016-09-01 |
| Find all providers in MACON | ||||
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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.