Provider Demographics
NPI:1568666972
Name:TAYLOR D. CAFFEY, M.D., P.A.
Entity Type:Organization
Organization Name:TAYLOR D. CAFFEY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-774-8483
Mailing Address - Street 1:370 JAMES ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-2015
Mailing Address - Country:US
Mailing Address - Phone:334-774-8483
Mailing Address - Fax:334-774-5742
Practice Address - Street 1:370 JAMES ST
Practice Address - Street 2:SUITE 101
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-2015
Practice Address - Country:US
Practice Address - Phone:334-774-8483
Practice Address - Fax:334-774-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC69990Medicare UPIN
ALJ733Medicare ID - Type Unspecified