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DONALD D TAYLOR M.D.
NPI 1013940030
Obstetrics & Gynecology in Calhoun, GA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
170 CURTIS PKWY NE STE 1, CALHOUN, GA 30701(706) 879-5770(706) 624-4336 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2018, Nov 8, 2016 (2 updates tracked since 2016).

About Donald D Taylor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD D TAYLOR M.D. (NPI 1013940030) is an individual obstetrics & gynecology provider in Calhoun, Georgia, licensed in Georgia (035340) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Loma Linda University School Of Medicine (1992).

NPPES Registry Identity

NPI1013940030
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDONALD D TAYLORCredential: M.D.
Location Address170 CURTIS PKWY NE STE 1Calhoun, GA 30701-2062
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703-7013
Phone(706) 879-5770
Fax(706) 624-4336
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1992
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 19, 20182 updates tracked since enumeration
✔ NPI 1013940030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 035340
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
170 CURTIS PKWY NE STE 1, Calhoun, GA 30701
Open in Google Maps ↗

Other Identifiers 1

Medicaid000495734CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald D Taylor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385782119
PECOS Enrollment IDI20110126000480
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Taylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System Georgia Inc
0.2 mi
Multi-Specialty
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 384 clinicians in this Medicare group
NPI 1699791343 (706) 602-7800
Obhg Georgia, P.C.
95 mi
Obstetrics & Gynecology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1750686838 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost69.57

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLE NGUYEN CNM
Advanced Practice Midwife
170 CURTIS PKWY NE STE 1
CALHOUN, GA 30701
Gordon County (706) 879-5770
KRISTI LYNN COBB WHNP-BC
Nurse Practitioner
170 CURTIS PKWY NE STE 1
CALHOUN, GA 30701
Gordon County (706) 879-5770
ALBERT HANDAL M.D.
Obstetrics & Gynecology (Gynecology)
170 CURTIS PKWY NE STE 1
CALHOUN, GA 30701
Gordon County (706) 879-5770
ASHLEY NICOLE CROSS RN
Advanced Practice Midwife
170 CURTIS PKWY NE STE 1
CALHOUN, GA 30701
Gordon County (706) 879-5770
MS. RACHEL DEY HARWOOD
Physician Assistant
170 CURTIS PKWY NE STE 1
CALHOUN, GA 30701
Gordon County (706) 879-5770
PELUMI ADEDAYO MD
Obstetrics & Gynecology
170 CURTIS PKWY NE STE 1
CALHOUN, GA 30701
Gordon County (706) 879-5770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Taylor's NPI number?

The NPI number for Donald Taylor is 1013940030. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Donald Taylor located?

Donald Taylor practices at 170 Curtis Pkwy NE Ste 1, Calhoun, GA 30701. The listed phone number is (706) 879-5770.

What is Donald Taylor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Donald Taylor enrolled in Medicare?

Yes. Donald Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Donald Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Taylor reassigns Medicare benefits to 2 organizations: Adventist Health System Georgia Inc (Calhoun, GA) and Obhg Georgia, P.C. (Athens, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Taylor accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Donald Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donald Taylor affiliated with any hospitals?

According to CMS data, Donald Taylor is affiliated with Adventhealth Gordon.

When was this NPI record last updated?

The NPPES record for Donald Taylor was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.