MARK ALLEN JR. TAYLOR (NP) – Nurse Practitioner, NPI 1154912913

MARK ALLEN JR. TAYLOR (NP) is a healthcare provider. based in Fortson, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 28902 (TN). The NPI Number for MARK ALLEN JR. TAYLOR (NP) is 1154912913

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN JR. TAYLOR (NP)
NPI
1154912913
Phone
Not provided
Address
PO BOX 370
Enumeration Date
3 February 2021
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152506900
Graduation Year
2020 (6 years ago)
PAC ID
7113336942
Group Practice PAC ID
8628090958
Professional Enrollment ID
I20210507001659
Address ID
TN370762056HE5651XBLVD304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MARK ALLEN JR. TAYLOR (NP)

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Type: Mailing

  • 3443 DICKERSON PIKE STE 190

    NASHVILLE, TN 372072533

    Phone: (615) 301-8269

    Type: Location

  • 3443 DICKERSON PIKE STE 680

    NASHVILLE, TN 372072537

    Phone: (615) 865-3322

    Fax: (615) 467-6692

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210507001659INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes5953$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 31808)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628090958View full group profile
NameSpecialtyState
Pulmonary DiseaseTN
Pulmonary DiseaseTN
Nurse PractitionerTN
Pulmonary DiseasePA
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the standard ID for MARK ALLEN JR. TAYLOR (NP) in the U.S.?
In the U.S., MARK ALLEN JR. TAYLOR (NP) is identified by NPI 1154912913.
Is MARK ALLEN JR. TAYLOR (NP) currently accepting referrals based on NPI status?
Registry metadata lists MARK ALLEN JR. TAYLOR (NP) as active.
What does the directory say MARK ALLEN JR. TAYLOR (NP) does?
Insurance directories may phrase it differently, but here MARK ALLEN JR. TAYLOR (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MARK ALLEN JR. TAYLOR (NP) in Fortson, Georgia?
For routing, start with Fortson, Georgia for MARK ALLEN JR. TAYLOR (NP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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