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SAMUEL TAYLOR M.D.
NPI 1164436788
Obstetrics & Gynecology in Marietta, GA

Active since July 28, 2006PECOS Enrolled
677 CHURCH ST NE # 125, MARIETTA, GA 30060(770) 793-5913(770) 999-2445 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samuel Taylor M.d. NPPES

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

SAMUEL TAYLOR M.D. (NPI 1164436788) is an individual obstetrics & gynecology provider in Marietta, Georgia, licensed in Georgia (022479) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Valdosta.

NPPES Registry Identity

NPI1164436788
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSAMUEL TAYLORCredential: M.D.
Location Address677 CHURCH ST NE # 125Marietta, GA 30060
Mailing Address677 Church St Ne # 125Marietta, GA 30060-1101 · (770) 793-5913 · Fax (770) 999-2445
Phone(770) 793-5913
Fax(770) 999-2445
Sole ProprietorYes
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 26, 2019
✔ NPI 1164436788 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 · 022479
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.
677 CHURCH ST NE # 125, Marietta, GA 30060
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Secondary Practice Location 1

Location 12601 Bemiss Rd, Suite AValdosta, GA 31602-1445 · Phone (229) 242-6677

Other Identifiers 1

Medicaid00261049DGA

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 (PECOS)

Samuel Taylor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Samuel Taylor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Georgia, P.C.
66 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
Southern Ob Gyn Associates P C
226 mi
Obstetrics & Gynecology
220 NORTHSIDE DR
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
NPI 1801951454 (229) 241-2800
Azalea Womens Center, PC
227 mi
Specialist
2307 N PATTERSON ST
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1710194097 (229) 242-8888
Airport Clinic Inc
230 mi
Clinic/Center
704 GIL HARBIN INDUSTRIAL BLVD
Valdosta, GA 31601
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1730354739 (229) 242-9003

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$67.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Samuel Taylor's NPI number?

The NPI number for Samuel Taylor is 1164436788. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Samuel Taylor located?

Samuel Taylor practices at 677 Church St NE # 125, Marietta, GA 30060. The listed phone number is (770) 793-5913.

What is Samuel Taylor's specialty?

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

Is Samuel Taylor enrolled in Medicare?

Yes. Samuel Taylor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Taylor reassigns Medicare benefits to 4 organizations: Obhg Georgia, P.C. (Athens, GA), Southern Ob Gyn Associates P C (Valdosta, GA), Azalea Womens Center, PC (Valdosta, GA) and Airport Clinic Inc (Valdosta, 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 Samuel Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel 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 Samuel 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.

When was this NPI record last updated?

The NPPES record for Samuel Taylor was last updated on September 26, 2019. 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.