MEDICARE: DR. SHERRI KEARISE TAYLOR M.D.

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	207V00000X	Obstetrics & Gynecology Physician	28454	AL
2	207VM0101X	Maternal & Fetal Medicine Physician	2024049481	MO
3	207VM0101X	Maternal & Fetal Medicine Physician	101533	GA
4	207VM0101X	Maternal & Fetal Medicine Physician	51613	SC
5	207VM0101X	Maternal & Fetal Medicine Physician	4301505536	MI
6	207V00000X	Obstetrics & Gynecology Physician	MD429276	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	51545430	OTHER	AL	BCBS-1610 CENTER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	51545431	OTHER	AL	BCBS-1720 CENTER

General Provider Information

NPI Number	:	1811104961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRI KEARISE TAYLOR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 743904
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-3904
Country	:	US
Telephone Number	:	803-545-5700
Fax Number	:	803-434-4699

Provider Business Practice Location Address
First Line	:	2 MEDICAL PARK ROAD LL9/10
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6839
Country	:	US
Telephone Number	:	803-545-5700
Fax Number	:	803-434-6642

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	03/13/2026

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Directions to “ DR. SHERRI KEARISE TAYLOR M.D.” Practice Location

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