TAWANDA TAYLOR (CRNP) – Adult Health Nurse Practitioner, NPI 1124413661

TAWANDA TAYLOR (CRNP) is a healthcare provider. based in Daphne, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-115111 (AL). The NPI Number for TAWANDA TAYLOR (CRNP) is 1124413661

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
TAWANDA TAYLOR (CRNP)
NPI
1124413661
Phone
Not provided
Address
912 VAN AVE APT 1012
Enumeration Date
1 April 2015
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2512717017
Graduation Year
2013 (13 years ago)
PAC ID
0547580227
Group Practice PAC ID
9133538432
Professional Enrollment ID
I20150520001273
Address ID
AL366064040MO3065XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for TAWANDA TAYLOR (CRNP)

  • 912 VAN AVE APT 1012

    DAPHNE, AL 365268617

    Phone:

    Type: Mailing

  • 25806 Pollard Rd Apt 37

    Daphne, AL 365265175

    Phone: (251) 850-7034

    Type: Location

  • 1687 Center Point Pkwy

    Birmingham, AL 352155528

    Phone: (205) 557-7022

    Fax: (205) 831-2849

    Type: Location

  • 633 Tuscaloosa Ave SW

    Birmingham, AL 352111637

    Phone: (205) 235-4003

    Fax: (205) 941-8071

    Type: Location

  • PO BOX 746063

    ATLANTA, GA 303746063

    Phone: (312) 733-9730

    Fax: (773) 866-8014

    Type: Mailing

  • 3065 DAUPHIN ST

    MOBILE, AL 366064040

    Phone: (251) 271-7017

    Fax: (251) 220-5536

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Exact Sciences Corporation ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150520001273INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes7631$0
99202New patient office or other outpatient visit, 15-29 minutes2323$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2020$0
View full utilization report →

Insurance plans in this area (ZIP 36526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133538432View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerMO
Nurse PractitionerAL
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Mental Health CounselorAL
Internal Medicine, HospitalistAL

Reviews

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Frequently asked questions

Can I cross-check TAWANDA TAYLOR (CRNP) using NPI 1124413661?
NPI 1124413661 belongs to TAWANDA TAYLOR (CRNP); compare other details if you need extra assurance.
Would TAWANDA TAYLOR (CRNP) appear as active to a payer?
You can treat TAWANDA TAYLOR (CRNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is TAWANDA TAYLOR (CRNP)?
TAWANDA TAYLOR (CRNP) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is TAWANDA TAYLOR (CRNP) associated with Daphne?
Public fields place TAWANDA TAYLOR (CRNP) around Daphne, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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