Tayler Mauldin (NPI# 1477014603, PAC ID# 1658606207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477014603 |
| PAC ID by PECOS | 1658606207 |
| Professional Enrollment ID | I20190718001379 |
| Full Name | Tayler Mauldin |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
460 Northside Cherokee Suite 410 Canton GA 30115-8016 |
| Phone Number | 6787867430 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628253424 |
| Number of Group Practice Members | 161 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 460 Northside Cherokee, Suite 410, Canton, GA 30115-8016 | 6787867430 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica F Wysock | Nurse Practitioner | Northside Surgical Professional Services LLC | 1100 Northside Forsyth Dr, Suite 410, Cumming, GA 30041-6015 |
| Torrance Christopher Laury | Family Medicine | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Eddie K Abdalla | General Surgery | Northside Surgical Professional Services LLC | 980 Johnson Fy Rd Ne, Suite 170, Atlanta, GA 30342-1607 |
| Kelley Dawn Harrelson | Nurse Practitioner | Northside Surgical Professional Services LLC | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 |
| Soyini Mattis Hawkins | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 |
| Grant C Wolfe | General Surgery | Northside Surgical Professional Services LLC | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1604 |
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Crystal R Dininger | Physician Assistant | Northside Surgical Professional Services LLC | 1366 Wellbrook Cir Ne, Suite B, Conyers, GA 30012-3872 |
| Rama K Rao | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 2001 Peachtree Nerd, Suite 650, Atlanta, GA 30309-1432 |
| Christopher D Killingsworth | Plastic and Reconstructive Surgery | Northside Surgical Professional Services LLC | Atlanta Aesthetics, 4150 Deputy Bill Cantrall Memorial Road Suite 240, Cumming, GA 30040 |
| Street Address |
460 NORTHSIDE CHEROKEE SUITE 410 |
| City | CANTON |
| State | GA |
| Zip | 30115-8016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bingchan Zhang | Radiation Oncology | North Atlanta Professional Services LLC | 460 Northside Cherokee, Suite T10, Canton, GA 30115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Ann Cartmell | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Aashish Desai | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Gordon Jerome Azar Jr. | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Ramal M Weragoda | Cardiac Electrophysiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Hyo Jin Song | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Vanessa Aquino-dick | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Valerie P Ciesla | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Ana A Mccook | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Ashley Burin | Physical Therapy | Pt Solutions of Acworth LLC | 1810 Cumming Hwy, Canton, GA 30115-2306 |
| John R Jackson | Emergency Medicine | 7768 Cumming Hwy 300, Canton, GA 30115-2982 | |
| Find all physicians in zip 30115 | |||
| City | CANTON |
| Zip Code | 30115 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tayler Mauldin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.