| Grant D Taylor, MD | |
|
2204 Pavilion Dr Ste 310, Kingsport, TN 37660-4653 | |
| (423) 246-4155 | |
| Not Available |
| Full Name | Grant D Taylor |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 2204 Pavilion Dr Ste 310, Kingsport, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427013044 | NPI | - | NPPES |
| 3329892 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD39734 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indian Path Community Hospital | Kingsport, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Medical Associates Inc | 8123291739 | 423 |
| Entity Name | Johnson City Urological Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578689253 PECOS PAC ID: 5799720082 Enrollment ID: O20050627001275 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant D Taylor, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Grant D Taylor, MD 2204 Pavilion Dr Ste 310, Kingsport, TN 37660-4653 Ph: (423) 246-4155 |
Dr. Anthony Lee Broglio, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
C Mack Patton, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Shenelle Wilson, Urology Medicare: Accepting Medicare Assignments Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660 Phone: 423-246-4155 | |
Jim R Littlejohn, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Hugh M. Sullivan, Urology Medicare: Not Enrolled in Medicare Practice Location: 822 Broad St, Kingsport, TN 37660 Phone: 423-246-6251 Fax: 423-246-7230 | |
Dr. Charles E Payne, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1932 Brookside Drive, Kingsport, TN 37660 Phone: 423-246-4155 Fax: 423-246-7169 |