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 |
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Johnson City Medical Center | Johnson city, TN | Hospital |
Lonesome Pine Hospital | Big stone gap, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellmont Medical Associates Inc | 8123291739 | 426 |
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 |