TAYLOR NEWSOM (PA-C) – Physician Assistant, NPI 1568054625

TAYLOR NEWSOM (PA-C) is a healthcare provider. based in Dalton, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10240 (GA). The NPI Number for TAYLOR NEWSOM (PA-C) is 1568054625

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR NEWSOM (PA-C)
NPI
1568054625
Phone
(706) 226-5533
Address
1104 PROFESSIONAL BLVD
Enumeration Date
9 February 2021
Last Update Date
3 March 2021

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
7062265533
Graduation Year
2020 (6 years ago)
PAC ID
2466841556
Group Practice PAC ID
4284624446
Professional Enrollment ID
I20211110002983
Address ID
GA307208442DA1300XWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for TAYLOR NEWSOM (PA-C)

  • 1104 PROFESSIONAL BLVD

    DALTON, GA 307202588

    Phone: (706) 226-5533

    Fax: (706) 529-5858

    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)

CMS reports 23 Open Payments records for all available years, with a total value of $1,392.

Total Amount is formed as General ($1,392) + Research ($0) + Ownership ($0) = $1,392.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Smoky Mountain Surgical Llc ($802).

Total Amount

$1,392

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2021-11-10

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
I20211110002983IPhysician AssistantGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes412242$0
J1100Injection, dexamethasone sodium phosphate, 1 mg37687$0
72100X-ray of lower and sacral spine, 2-3 views157141$0
96372Injection of drug or substance under skin or into muscle11390$0
99214Established patient office or other outpatient visit, 30-39 minutes113101$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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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: 4284624446View full group profile
NameSpecialtyState
Orthopedic SurgeryGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeIL
-GA
Physician AssistantGA
Orthopedic SurgeryGA
Nurse PractitionerGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I use this page to confirm TAYLOR NEWSOM (PA-C)'s NPI?
Yes. TAYLOR NEWSOM (PA-C) is listed with NPI 1568054625 in the public NPI dataset.
Can I rely on TAYLOR NEWSOM (PA-C) being an active provider?
As of the registry snapshot, TAYLOR NEWSOM (PA-C) is marked active.
What is TAYLOR NEWSOM (PA-C) best known for clinically?
Directory data describes TAYLOR NEWSOM (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for TAYLOR NEWSOM (PA-C)?
TAYLOR NEWSOM (PA-C)'s geographic hint is Dalton, Georgia in our summary view.
Why does TAYLOR NEWSOM (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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