TAYLOR GLAZE PNP - NPI 1437720364 - Nurse Practitioner in Kathleen, GA

Q: What is Taylor Glaze's NPI number?

The NPI number for Taylor Glaze is 1437720364. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Q: What is Taylor Glaze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Glaze was last updated on April 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Taylor Glaze Pnp NPPES

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

TAYLOR GLAZE PNP (NPI 1437720364) is an individual pediatrics provider in Kathleen, Georgia, licensed in Georgia (RN239691) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437720364

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTAYLOR GLAZECredential: PNP

Location Address1114 GA HIGHWAY 96 STE D3-D5Kathleen, GA 31047-2111

Mailing Address1114 Ga Highway 96 Ste D3-d5Kathleen, GA 31047-2111 · (478) 910-1090

Phone(478) 910-1090

Sole ProprietorNo

Enumeration DateJuly 1, 2021

Last NPPES UpdateApril 9, 20243 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1437720364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · RN239691

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License RN239691 (GA)

1114 GA HIGHWAY 96 STE D3-D5, Kathleen, GA 31047

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Secondary Practice Locations 2

Location 11001 Johnson Fy Rd NEAtlanta, GA 30342-1605 · Phone (404) 785-5437

Location 25300 Bowman ParkMacon, GA 31210-6583 · Phone (478) 741-3007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Glaze Pnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31047 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.

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.

CARECONNECT HEALTH, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))