TAYLOR NICOLE FIVEASH (FNP-C) – Primary Care Nurse Practitioner, NPI 1962922427

TAYLOR NICOLE FIVEASH (FNP-C) is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 230599 (GA). The NPI Number for TAYLOR NICOLE FIVEASH (FNP-C) is 1962922427

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR NICOLE FIVEASH (FNP-C)
NPI
1962922427
Phone
(912) 384-0600
Address
1305 Ocilla Rd
Enumeration Date
26 June 2017
Last Update Date
28 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294338200
Graduation Year
2017 (9 years ago)
PAC ID
7618249558
Group Practice PAC ID
5496284028
Professional Enrollment ID
I20170828001053
Address ID
GA316026814VA4256XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for TAYLOR NICOLE FIVEASH (FNP-C)

  • 1305 Ocilla Rd

    Douglas, GA 315332209

    Phone: (912) 384-0600

    Type: Location

  • 101 W NORTHISDE DR, BLDG G

    VALDOSTA, GA 31602

    Phone: (912) 384-0600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $4,671.

Total Amount is formed as General ($4,671) + Research ($0) + Ownership ($0) = $4,671.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: ATRICURE, INC. ($2,181).

Total Amount

$4,671

General + Research + Ownership

Payments

48

Total payment records

General Amount

$4,671

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

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: 2017-08-28

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
I20170828001053INurse PractitionerGATBD

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
99285Emergency department visit with high level of medical decision making1515$0
99284Emergency department visit with moderate level of medical decision making1414$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

Loading plans...

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: 5496284028View full group profile
NameSpecialtyState
Nurse PractitionerGA
Hospitalist, Internal MedicineWI
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to TAYLOR NICOLE FIVEASH (FNP-C)?
The federal identifier for TAYLOR NICOLE FIVEASH (FNP-C) is NPI 1962922427.
Is TAYLOR NICOLE FIVEASH (FNP-C) active in the national directory?
TAYLOR NICOLE FIVEASH (FNP-C)'s public NPI profile is in an active state.
What kind of provider is TAYLOR NICOLE FIVEASH (FNP-C)?
The page reflects Primary Care Nurse Practitioner for TAYLOR NICOLE FIVEASH (FNP-C). Clinical services aligned with this taxonomy classification.
Does TAYLOR NICOLE FIVEASH (FNP-C) practice in Georgia?
You will see Douglas, Georgia on file for TAYLOR NICOLE FIVEASH (FNP-C) alongside any extra practice locations.
What if Douglas, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

PAMELA K TURK (APRN)

Primary Care Nurse Practitioner
Doctors Drive, Douglas, Coffee County, Georgia, 31533, United States
NPI: 1972667954

DOUGLAS MEDICAL SPECIALIST

Cardiovascular Disease Physician
Doctors Drive, Douglas, Coffee County, Georgia, 31533, United States
NPI: 1154475085

MICHAEL S. FLORY (APRN)

Primary Care Nurse Practitioner
163 KINGSRIDGE DR
NPI: 1225365976