| Jamie Michelle Taylor, NP | |
|
165 Mccallum Pl, Lizella, GA 31052-3826 | |
| (478) 731-5131 | |
| Not Available |
| Full Name | Jamie Michelle Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 165 Mccallum Pl, Lizella, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134732589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F05200975 (Georgia) | Primary |
| Entity Name | Family Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144432048 PECOS PAC ID: 7012978448 Enrollment ID: O20041020000171 |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Michelle Taylor, NP 165 Mccallum Pl, Lizella, GA 31052-3826 Ph: (478) 731-5131 | Jamie Michelle Taylor, NP 165 Mccallum Pl, Lizella, GA 31052-3826 Ph: (478) 731-5131 |
Ciji Dionne Hill, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6186 Glen Holly Dr, Lizella, GA 31052 Phone: 404-583-3185 | |
Jennifer Lassiter, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4116 Holley Rd., Lizella, GA 31052 Phone: 478-808-2945 |