Mrs Lashawnda Katina Taylor, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gracewood, Georgia. Her current practice location is
100 Myrtle Boulevard, Gracewood, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 790-2011.
Mrs Lashawnda Katina Taylor is licensed to practice in Georgia (license number RN152884) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013667831.
Provider's Profile
Full Name | Mrs Lashawnda Katina Taylor |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 100 Myrtle Boulevard, Gracewood, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013667831
- Provider Enumeration Date: 03/25/2022
- Last Update Date: 03/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547647513
- Enrollment ID: I20220512000535
Medical Identifiers
Medical identifiers for Mrs Lashawnda Katina Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013667831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN152884 (Georgia) | Primary |
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. Mrs Lashawnda Katina 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 |
Mrs Lashawnda Katina Taylor, FNP 2014 Eugenia Street, Hephzibah, GA 30812 Ph: (706) 627-3455 | Mrs Lashawnda Katina Taylor, FNP 100 Myrtle Boulevard, Gracewood, GA 30812 Ph: (706) 790-2011 |
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