CAROL C TAYLOR (P.A.) – Physician Assistant, NPI 1083689905
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for CAROL C TAYLOR (P.A.)
3555 WINDSOR CIR NE
CLEVELAND, TN 373125153
Phone: (423) 883-9918
Type: Mailing
4976 ALPHA LN
HIXSON, TN 373435470
Phone: (423) 308-0280
Fax: (423) 308-0281
Type: Mailing
1651 GUNBARREL RD STE 201
CHATTANOOGA, TN 374213291
Phone: (423) 899-9133
Fax: (423) 855-8176
Type: Location
2341, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States
SUITE 302 PLAZA III
CHATTANOOGA, TN 374043239
Phone: (423) 629-9743
Fax: (423) 629-9744
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,151.
Total Amount is formed as General ($1,151) + Research ($0) + Ownership ($0) = $1,151.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($544).
Total Amount
$1,151
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $544 |
| MAYNE PHARMA COMMERCIAL LLC | $118 |
| Sumitomo Pharma America, Inc. | $105 |
| Channel Medsystems, Inc. | $83 |
| Exeltis, USA Inc. | $64 |
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: 2005-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050411000964 | I | Physician Assistant | TN | 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 37312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Orthopedic Surgery | TN | |
| Nurse Practitioner | TN | |
| O T O L A R Y N G O L O G Y | AL | |
| Nurse Practitioner | TN | |
| Internal Medicine, Interventional Cardiology | TN | |
| Family Practice | TN | |
| Nurse Practitioner | TN |
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