KELLY ELIZABETH TAYLOR (ANP) – Adult Health Nurse Practitioner, NPI 1326388430
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for KELLY ELIZABETH TAYLOR (ANP)
541 HISTORIC HWY 441 N
DEMOREST, GA 305350037
Phone: (770) 219-7078
Fax: (770) 219-7365
Type: Location
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 533-4786
Type: Mailing
725 Jesse Jewell Pkwy SE
Gainesville, GA 305013834
Phone: (678) 207-4373
Fax: (770) 533-4727
Type: Location
801 Austin Dr
Demorest, GA 305354513
Phone: (706) 754-8066
Fax: (706) 754-8086
Type: Location
835 AUSTIN DR
DEMOREST, GA 305354513
Phone: (706) 754-8518
Fax: (706) 754-6238
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 $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $18 |
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: 2025-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130430000492 | I | Nurse Practitioner | GA | TBD |
| I20231228000025 | I | Nurse Practitioner | MS | TBD |
| I20240405001493 | I | Nurse Practitioner | AL | TBD |
| I20240605003379 | I | Nurse Practitioner | FL | TBD |
| I20240619002364 | I | Nurse Practitioner | AZ | TBD |
| I20240816000614 | I | Nurse Practitioner | NJ | TBD |
| I20240910003092 | I | Nurse Practitioner | NY | TBD |
| I20250806000091 | I | Nurse Practitioner | TX | TBD |
| I20250916003634 | I | Nurse Practitioner | KY | TBD |
| I20250917000252 | I | Nurse Practitioner | DE | TBD |
| I20250918004854 | I | Nurse Practitioner | TN | TBD |
| I20251017003901 | I | Nurse Practitioner | MD | TBD |
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.
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 30535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | FL | |
| Nurse Practitioner | TN | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | GA |
Reviews
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