MEDICARE: TAYLOR ALEXANDRA COLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	104422	GA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1508509860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ALEXANDRA COLE MD

Provider Business Mailing Address
First Line	:	1284 WILLISTON DR
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-8156
Country	:	US
Telephone Number	:	678-237-3346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BAYLOR PLZ
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3411
Country	:	US
Telephone Number	:	713-873-3571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	02/03/2026

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