MR. TAYLOR MICHAEL SMITH (PA-C, ATC) – Physician Assistant, NPI 1730798240

MR. TAYLOR MICHAEL SMITH (PA-C, ATC) is a healthcare provider. based in Jackson, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, ATC. They hold a License No. 4638 (TN). The NPI Number for MR. TAYLOR MICHAEL SMITH (PA-C, ATC) is 1730798240

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. TAYLOR MICHAEL SMITH (PA-C, ATC)
NPI
1730798240
Phone
(731) 267-3562
Address
21 WINDFIELD CV
Enumeration Date
30 July 2020
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7314279971
Graduation Year
2021 (5 years ago)
PAC ID
2961808407
Group Practice PAC ID
5395728935
Professional Enrollment ID
I20210908001680
Address ID
TN383013947JA28XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for MR. TAYLOR MICHAEL SMITH (PA-C, ATC)

  • 21 WINDFIELD CV

    JACKSON, TN 383059778

    Phone: (731) 267-3562

    Type: Mailing

  • 28 MEDICAL CENTER DR

    JACKSON, TN 383013947

    Phone: (731) 427-9971

    Fax: (731) 427-9973

    Type: Mailing

  • 569 SKYLINE DR.

    JACKSON, TN 38301

    Phone: (731) 664-7395

    Fax: (731) 664-0057

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,124.

Total Amount is formed as General ($1,124) + Research ($0) + Ownership ($0) = $1,124.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medtronic, Inc. ($453).

Total Amount

$1,124

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2021-09-08

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
I20210908001680IPhysician AssistantTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4536$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 38305)

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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: 5395728935View full group profile

Reviews

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Frequently asked questions

Can I verify MR. TAYLOR MICHAEL SMITH (PA-C, ATC) with an NPI only?
You can start verification with NPI 1730798240 for MR. TAYLOR MICHAEL SMITH (PA-C, ATC), then check state licensing separately.
Does CMS list MR. TAYLOR MICHAEL SMITH (PA-C, ATC) as active?
Yes — MR. TAYLOR MICHAEL SMITH (PA-C, ATC) is active in the NPI listing used on this page.
What taxonomy line describes MR. TAYLOR MICHAEL SMITH (PA-C, ATC)?
For research purposes, treat MR. TAYLOR MICHAEL SMITH (PA-C, ATC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. TAYLOR MICHAEL SMITH (PA-C, ATC) based?
MR. TAYLOR MICHAEL SMITH (PA-C, ATC) is tied to Jackson, Tennessee in the data we show; additional addresses may exist on the full record.
Is the information about MR. TAYLOR MICHAEL SMITH (PA-C, ATC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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