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

Timothy Blake Taylor

Individual provider Primary Care Nurse Practitioner · NPI 1356847743

Timothy Blake Taylor is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2017, 9 years ago. Practices with Valdosta Family Medicine Associates, PC, a 38-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
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Practice location Address checks out

2412 N Oak St
Valdosta, GA 31602-2567
Phone: (229) 244-1400
Fax: (229) 244-5512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN235794 (GA)

Record details

NPI number1356847743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2018
Last updated in NPPESApril 4, 2018
Mailing address2412 N Oak St, Valdosta, GA 31602-2567

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Valdosta Family Medicine Associates, P.C. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valdosta