MRS. SHAWANA MITCHELL TAYLOR FNP
NPI 1164043055
Nurse Practitioner - Family in Waycross, GA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
1115 PORTER ST, WAYCROSS, GA 31501(912) 550-5458 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shawana Mitchell Taylor Fnp NPPES

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

MRS. SHAWANA MITCHELL TAYLOR FNP (NPI 1164043055) is an individual family provider in Waycross, Georgia, licensed in Georgia (RN239880) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164043055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHAWANA MITCHELL TAYLORCredential: FNP
Location Address1115 PORTER STWaycross, GA 31501-5640
Mailing Address1115 Porter StWaycross, GA 31501-5640 · (912) 550-5458
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 1, 2020
NPPES CertifiedMay 1, 2020
NPI 1164043055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN239880
1115 PORTER ST, Waycross, GA 31501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shawana Mitchell Taylor Fnp 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 ID7416344973
PECOS Enrollment IDI20220502000960
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shawana Taylor's NPI number?

The NPI number for Shawana Taylor is 1164043055. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Shawana Taylor located?

Shawana Taylor practices at 1115 Porter St, Waycross, GA 31501. The listed phone number is (912) 550-5458.

What is Shawana Taylor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawana Taylor enrolled in Medicare?

Yes. Shawana 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.

When was this NPI record last updated?

The NPPES record for Shawana Taylor was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.