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Collaborative Geriatrics, Inc.

Geriatric Medicine (Family Medicine) Physician in Milton, WV · enumerated 2006 · authorized official Courtney Taylor, Administrative Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629004221

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Registry record

Entity type Organization (Type 2)
Legal business name Collaborative Geriatrics, Inc.
Practice address 414 Mahoganywood Dr, Milton, WV, 25541
Fax (304) 743-1704
Enumeration date Jun 24, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 14713 (WV) Primary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 21327 (WV) Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 1601 (WV) Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 20005 (WV) Secondary

Authorized official

Name Courtney Taylor
Title Administrative Assistant

Other identifiers

Identifier Type State Issuer
0040807000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Collaborative Geriatrics, Inc. located?
The practice location on file with NPPES is in Milton, WV.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.