MAX ANDREW TAYLOR (RN) – Family Nurse Practitioner, NPI 1972888220

MAX ANDREW TAYLOR (RN) is a healthcare provider. based in Hardy, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 35972 (TN). The NPI Number for MAX ANDREW TAYLOR (RN) is 1972888220

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MAX ANDREW TAYLOR (RN)
NPI
1972888220
Phone
Not provided
Address
4196 HIGHWAY 62 412 STE A
Enumeration Date
19 October 2011
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8654362811
Graduation Year
2023 (3 years ago)
PAC ID
9638518137
Group Practice PAC ID
1951721802
Professional Enrollment ID
I20240417000629
Address ID
TN377385601GA204XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MAX ANDREW TAYLOR (RN)

  • 4196 HIGHWAY 62 412 STE A

    HARDY, AR 725428002

    Phone:

    Type: Mailing

  • 204 GLADES RD

    GATLINBURG, TN 377385658

    Phone: (865) 436-2811

    Fax: (833) 989-2492

    Type: Location

  • 293 MOUNT DR APT 401

    SEVIERVILLE, TN 378763126

    Phone: (639) 239-7100

    Type: Location

  • 826 PIONEER DR

    SEYMOUR, TN 378654378

    Phone:

    Type: Mailing

  • 227 CEDAR ST

    SEVIERVILLE, TN 378623838

    Phone: (865) 453-1032

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novo Nordisk Inc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$22
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: 2024-04-17

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
I20240417000629INurse PractitionerTNTBD

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 72542)

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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: 1951721802View full group profile
NameSpecialtyState
Physician AssistantTN
Nurse PractitionerCA
Nurse PractitionerAR
Nurse PractitionerAR
Physician AssistantTN
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Physician AssistantKY
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is MAX ANDREW TAYLOR (RN) listed with a National Provider Identifier?
Yes — MAX ANDREW TAYLOR (RN) has NPI 1972888220 on file in the registry.
Is MAX ANDREW TAYLOR (RN) still an active registrant?
MAX ANDREW TAYLOR (RN) carries an active NPI according to the public dataset.
What area of care is associated with MAX ANDREW TAYLOR (RN)?
MAX ANDREW TAYLOR (RN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MAX ANDREW TAYLOR (RN) associated with Hardy?
Public fields place MAX ANDREW TAYLOR (RN) around Hardy, Arkansas. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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