TAYLOR LIGHTSEY – Family Nurse Practitioner, NPI 1255058764

TAYLOR LIGHTSEY is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-150635 (AL). The NPI Number for TAYLOR LIGHTSEY is 1255058764

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR LIGHTSEY
NPI
1255058764
Phone
(205) 527-0975
Address
2018 BROOKWOOD MEDICAL CTR DR STE G100
Enumeration Date
25 October 2022
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053878159
Graduation Year
2024 (2 years ago)
PAC ID
2466973136
Group Practice PAC ID
8921000845
Professional Enrollment ID
I20250311000583
Address ID
AL355016108JA1450XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for TAYLOR LIGHTSEY

  • 2018 BROOKWOOD MEDICAL CTR DR STE G100

    BIRMINGHAM, AL 352096898

    Phone: (205) 527-0975

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-03-11

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
I20250311000583INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35209)

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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: 8921000845View full group profile
NameSpecialtyState
Internal MedicineAL
-AL
Family PracticeAL
Internal MedicineAL
Nurse PractitionerAL
Nurse PractitionerLA
Internal MedicineAL
Family PracticeAL
Family PracticeAL
Internal MedicineAL

Reviews

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Frequently asked questions

Can I verify TAYLOR LIGHTSEY with an NPI only?
You can start verification with NPI 1255058764 for TAYLOR LIGHTSEY, then check state licensing separately.
Can I rely on TAYLOR LIGHTSEY being an active provider?
As of the registry snapshot, TAYLOR LIGHTSEY is marked active.
What taxonomy line describes TAYLOR LIGHTSEY?
For research purposes, treat TAYLOR LIGHTSEY as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is TAYLOR LIGHTSEY based?
TAYLOR LIGHTSEY is tied to Birmingham, Alabama in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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