Dr Edwin Tom Taylor, MD, FAAP is a medicare enrolled "Pediatrics" physician in Chatsworth, Georgia. His current practice location is
1008 N 3rd Ave, Chatsworth, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 517-2273.
Dr Edwin Tom Taylor is licensed to practice in Georgia (license number 83438) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912153784.
Physician's Profile
| Full Name | Dr Edwin Tom Taylor |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1008 N 3rd Ave, Chatsworth, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912153784
- Provider Enumeration Date: 08/13/2008
- Last Update Date: 05/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 8527384114
- Enrollment ID: I20190819002622
Medical Identifiers
Medical identifiers for Dr Edwin Tom Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912153784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 83438 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Edwin Tom Taylor allows following entities to bill medicare on his behalf.
| Entity Name | Phoebe Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edwin Tom Taylor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edwin Tom Taylor, MD, FAAP
165 Blue Ridge Overlook,
Blue Ridge, GA 30513-4431
Ph: (706) 946-5607 | Dr Edwin Tom Taylor, MD, FAAP
1008 N 3rd Ave,
Chatsworth, GA 30705-2118
Ph: (706) 517-2273 |
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