Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Shaun Phelps, MD

Individual provider Ophthalmology Physician · NPI 1083145775

Taylor Shaun Phelps, MD is an Ophthalmology in Lawrenceville, Georgia. Qualified in 2017, 9 years ago. Practices with Louisiana State University School of Medicine in New Orleans Faculty G, a 447-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and New York.

Years since qualifying
9
Licensed in
LA, NY
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-3328
Phone: (678) 312-4077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 433 Plaza St Rm 213, Bogalusa, LA 70427-3729 — (985) 730-7209

Specialties & licences

Glaucoma Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0009X · Licence 309854 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence 309854 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence 333840 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083145775
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Louisiana State University School Of Medicine In New Orleans Faculty G — 447 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawrenceville