SAMUEL TAYLOR PA-C
NPI 1659440493
Physician Assistant - Medical in Saint Marys, GA

Active since November 07, 2006
2000 DAN PROCTOR DR, SAINT MARYS, GA 31558(912) 576-6200(919) 477-5474 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Taylor Pa-c NPPES

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

SAMUEL TAYLOR PA-C (NPI 1659440493) is an individual medical provider in Saint Marys, Georgia, licensed in Georgia (004815) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1659440493
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSAMUEL TAYLORCredential: PA-C
Location Address2000 DAN PROCTOR DRSaint Marys, GA 31558-3810
Mailing AddressPo Box 15133Durham, NC 27704-0133 · (919) 477-5152 · Fax (919) 477-5474
Fax(919) 477-5474
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 23, 2008
NPI 1659440493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 004815
2000 DAN PROCTOR DR, Saint Marys, GA 31558

Other Identifiers 5

Medicare UPINQ74465GA
Medicare PIN511I970131SC
Other01157773GA · Amerigroup
Medicaid762697290BGA
Medicare PINP00458587GA

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.

Specialist
2000 DAN PROCTOR DR
SAINT MARYS, GA 31558
Anesthesiologist Assistant
2000 DAN PROCTOR DR
SAINT MARYS, GA 31558
General Acute Care Hospital
2000 DAN PROCTOR DR
SAINT MARYS, GA 31558
Anesthesiologist Assistant
2000 DAN PROCTOR DR
SAINT MARYS, GA 31558
Nurse Anesthetist, Certified Registered
2000 DAN PROCTOR DR
SAINT MARYS, GA 31558
Radiology (Diagnostic Radiology)
2000 DAN PROCTOR DR
SAINT MARYS, GA 31558
Physical Therapist
2000 DAN PROCTOR DR, SUITE 180
SAINT MARYS, GA 31558
Anesthesiologist Assistant
2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

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 1659440493. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Samuel Taylor located?

Samuel Taylor practices at 2000 Dan Proctor Dr, Saint Marys, GA 31558. The listed phone number is (912) 576-6200.

What is Samuel Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Samuel Taylor was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.