| Taylor Ryan Smith, MD | |
|
103 John Maddox Dr Nw, Rome, GA 30165-1419 | |
| (706) 235-7711 | |
| (706) 235-9944 |
| Full Name | Taylor Ryan Smith |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 103 John Maddox Dr Nw, Rome, Georgia |
| 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 |
|---|---|---|---|
| 1316444565 | NPI | - | NPPES |
| 2494660 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 320110 (Louisiana) | Secondary |
| 207N00000X | Dermatology | 92896 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Georgia Dermatology And Skin Surgery Center Pc | 8628066099 | 6 |
| Entity Name | Northwest Georgia Dermatology & Skin Surgery Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467641381 PECOS PAC ID: 8628066099 Enrollment ID: O20040504001003 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Ryan Smith, MD 103 John Maddox Dr Nw, Rome, GA 30165-1419 Ph: (706) 235-7711 | Taylor Ryan Smith, MD 103 John Maddox Dr Nw, Rome, GA 30165-1419 Ph: (706) 235-7711 |
Mallory Osborne Fallin, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 103 John Maddox Dr Nw, Rome, GA 30165 Phone: 706-235-7711 Fax: 706-235-9944 | |
Jason L Smith, M D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 103 John Maddox Dr Nw, Rome, GA 30165 Phone: 706-235-7711 Fax: 706-235-9944 | |
Julia Griffin Girard, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 550 Redmond Rd Nw, Rome, GA 30165 Phone: 706-233-8516 Fax: 706-233-8517 |