MARY B TAYLOR MD
NPI 1174629257
Pediatrics - Pediatric Critical Care Medicine in Jackson, MS

Q: What is Mary Taylor's NPI number?

The NPI number for Mary Taylor is 1174629257. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Mary Taylor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mary Taylor was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 15, 2006PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(888) 815-2005 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

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About Mary B Taylor Md NPPES

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

MARY B TAYLOR MD (NPI 1174629257) is an individual pediatric critical care medicine provider in Jackson, Mississippi, licensed in Mississippi (13304) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174629257

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameMARY B TAYLORCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (888) 815-2005

Phone(888) 815-2005

Sole ProprietorNo

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1174629257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in MS · 13304✔ Licensed in TN · 28959

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 4

Medicaid3841852TN

Other4019556Bcbs

Other370019646Rr Medicare

Medicaid38418511TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary B Taylor Md 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.

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Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)