TAYLOR GRIMMETT (PA-C) – Physician Assistant, NPI 1720969066

TAYLOR GRIMMETT (PA-C) is a healthcare provider. based in Clayton, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 13361 (GA). The NPI Number for TAYLOR GRIMMETT (PA-C) is 1720969066

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
TAYLOR GRIMMETT (PA-C)
NPI
1720969066
Phone
(706) 960-9550
Address
458 N MAIN ST
Enumeration Date
11 September 2025
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7069609550
Graduation Year
2025 (1 year ago)
PAC ID
0648768556
Group Practice PAC ID
0840527255
Professional Enrollment ID
I20251022004476
Address ID
GA305254254CL458XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for TAYLOR GRIMMETT (PA-C)

  • 458 N MAIN ST

    CLAYTON, GA 305254254

    Phone: (706) 960-9550

    Fax: (706) 960-9551

    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: 2025-10-22

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
I20251022004476IPhysician 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.

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

Insurance plans in this area (ZIP 30525)

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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: 0840527255View full group profile
NameSpecialtyState
-GA
Physician AssistantGA
Family PracticeGA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What number should I use to identify TAYLOR GRIMMETT (PA-C) for billing?
Administrative and clinical systems typically use NPI 1720969066 for TAYLOR GRIMMETT (PA-C).
Is TAYLOR GRIMMETT (PA-C)'s NPI status active today?
Active status means TAYLOR GRIMMETT (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits TAYLOR GRIMMETT (PA-C)?
NPPES ties TAYLOR GRIMMETT (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TAYLOR GRIMMETT (PA-C)?
TAYLOR GRIMMETT (PA-C) shows a connection to Clayton, Georgia in registry-derived data.
Can I export TAYLOR GRIMMETT (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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