MARTIN JOSEPH TAYLOR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1417915646

MARTIN JOSEPH TAYLOR (CRNA) is a healthcare provider. based in Augusta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN085928 (GA). The NPI Number for MARTIN JOSEPH TAYLOR (CRNA) is 1417915646

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARTIN JOSEPH TAYLOR (CRNA)
NPI
1417915646
Phone
(706) 855-9860
Address
PO BOX 204097
Enumeration Date
4 May 2006
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8036373174
Graduation Year
1995 (31 years ago)
PAC ID
7810891488
Group Practice PAC ID
1557606118
Professional Enrollment ID
I20031125000248
Address ID
SC298244525ED300XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for MARTIN JOSEPH TAYLOR (CRNA)

  • Box Turtle Run, Augusta Acres, Greenville County, South Carolina, 29636, United States

    AUGUSTA, GA 30907

    Phone: (706) 855-9860

    Fax: (706) 860-7124

    Type: Mailing

  • Doctors Hospital of Augusta, 3651, Wheeler Road, Augusta, Richmond County, Georgia, 30909, United States

    AUGUSTA, GA 309096521

    Phone: (706) 855-9860

    Fax: (706) 860-7124

    Type: Location

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: 2008-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031125000248ICertified Registered Nurse Anesthetist (Crna)SCTBD
I20080523000332ICertified Registered Nurse Anesthetist (Crna)GATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30907)

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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: 1557606118View full group profile
NameSpecialtyState
Family PracticeSC
Family Practice, Emergency MedicineSC
Family PracticeSC
Orthopedic SurgerySC
Family PracticeSC
Family Practice, Hospice/Palliative CareSC
Family PracticeSC
Family PracticeSC
P O D I A T R YNY
Family PracticeSC

Reviews

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Frequently asked questions

Can I use this page to confirm MARTIN JOSEPH TAYLOR (CRNA)'s NPI?
Yes. MARTIN JOSEPH TAYLOR (CRNA) is listed with NPI 1417915646 in the public NPI dataset.
Can I rely on MARTIN JOSEPH TAYLOR (CRNA) being an active provider?
As of the registry snapshot, MARTIN JOSEPH TAYLOR (CRNA) is marked active.
What is MARTIN JOSEPH TAYLOR (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MARTIN JOSEPH TAYLOR (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MARTIN JOSEPH TAYLOR (CRNA)?
MARTIN JOSEPH TAYLOR (CRNA)'s geographic hint is Augusta, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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