DR. GRANT TAYLOR (MD) – Surgery Physician, NPI 1861465866

DR. GRANT TAYLOR (MD) is a healthcare provider. based in Douglasville, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 056389 (GA). The NPI Number for DR. GRANT TAYLOR (MD) is 1861465866

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRANT TAYLOR (MD)
NPI
1861465866
Phone
(770) 942-4822
Address
4904 Timber Ridge Dr
Enumeration Date
9 February 2006
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4704901000
Graduation Year
1991 (35 years ago)
PAC ID
9638087133
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20050810000519
Address ID
GA301202129CA960XXSEXX600

Contacts

Secure Messaging
gtaylor56245@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

1,092 GENERAL SURGERY in GA

Provider Addresses for DR. GRANT TAYLOR (MD)

  • 4904 Timber Ridge Dr

    Suite 104

    Douglasville, GA 301351828

    Phone: (770) 942-4822

    Fax: (770) 942-5311

    Type: Location

  • PO BOX 200128

    CARTERSVILLE, GA 301209003

    Phone: (770) 386-1261

    Fax: (770) 382-9343

    Type: Mailing

  • 970 JOE FRANK HARRIS PKWY SE STE 120

    CARTERSVILLE, GA 301202160

    Phone: (470) 490-3200

    Type: Location

  • 4904, Timber Ridge Drive, Capatains Quarters, Douglasville, Douglas County, Georgia, 30135, United States

    SUITE 104

    DOUGLASVILLE, GA 301351828

    Phone: (770) 942-4822

    Fax: (770) 942-5311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Davol Inc. ($138).

Total Amount

$202

General + Research + Ownership

Payments

5

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-08-10

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
I20050810000519IGeneral SurgeryGATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes2812$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2315$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
47563Removal of gallbladder with x-ray study of bile ducts using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 30135)

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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: 9830082825View full group profile
NameSpecialtyState
General SurgeryGA
Nurse PractitionerGA
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineGA
-GA
Nurse PractitionerGA
-GA
General SurgeryGA
Surgical OncologyWA
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify DR. GRANT TAYLOR (MD) for billing?
Administrative and clinical systems typically use NPI 1861465866 for DR. GRANT TAYLOR (MD).
Does the public listing show DR. GRANT TAYLOR (MD) as active?
DR. GRANT TAYLOR (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. GRANT TAYLOR (MD)'s listing?
DR. GRANT TAYLOR (MD)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. GRANT TAYLOR (MD) tied to Douglasville, Georgia?
If you are local to Douglasville, Georgia, DR. GRANT TAYLOR (MD) may be relevant to your search.
Can I export DR. GRANT TAYLOR (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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