MRS. TAYLOR GRIFFIN DICKERSON (MD) – Dermatology Physician, NPI 1154825974

MRS. TAYLOR GRIFFIN DICKERSON (MD) is a healthcare provider. based in Longview, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. T7197 (TX). The NPI Number for MRS. TAYLOR GRIFFIN DICKERSON (MD) is 1154825974

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAYLOR GRIFFIN DICKERSON (MD)
NPI
1154825974
Phone
(903) 757-3881
Address
3535 N FOURTH ST STE 400
Enumeration Date
19 March 2018
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
9037573881
Graduation Year
2018 (8 years ago)
PAC ID
5597012906
Group Practice PAC ID
0749440188
Professional Enrollment ID
I20220524002115
Address ID
TX756050036LO3535XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for MRS. TAYLOR GRIFFIN DICKERSON (MD)

  • 3535 N FOURTH ST STE 400

    LONGVIEW, TX 756050038

    Phone: (903) 757-3881

    Fax: (903) 757-5948

    Type: Mailing

  • 1542, Tulane Avenue, Storyville, Mid-City, New Orleans, Orleans Parish, Louisiana, 70112, United States

    NEW ORLEANS, LA 701122865

    Phone: (504) 568-5600

    Type: Mailing

  • 1367 DOMINION PLZ

    TYLER, TX 757031013

    Phone: (903) 534-6200

    Fax: (903) 939-0755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 246 Open Payments records for all available years, with a total value of $4,859.

Total Amount is formed as General ($4,859) + Research ($0) + Ownership ($0) = $4,859.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($1,166).

Total Amount

$4,859

General + Research + Ownership

Payments

246

Total payment records

General Amount

$4,859

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2022-05-24

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
I20220524002115IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths835166$0
99213Established patient office or other outpatient visit, 20-29 minutes538427$0
17000Destruction of precancer skin growth, 1 growth276235$0
11102Biopsy of related skin growth, first growth187170$0
99214Established patient office or other outpatient visit, 30-39 minutes176140$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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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: 0749440188View full group profile
NameSpecialtyState
Nurse PractitionerTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Physician AssistantTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to MRS. TAYLOR GRIFFIN DICKERSON (MD)?
The federal identifier for MRS. TAYLOR GRIFFIN DICKERSON (MD) is NPI 1154825974.
Is MRS. TAYLOR GRIFFIN DICKERSON (MD)'s NPI currently valid?
The extract we use shows MRS. TAYLOR GRIFFIN DICKERSON (MD) as active.
What field does MRS. TAYLOR GRIFFIN DICKERSON (MD) work in?
You can think of MRS. TAYLOR GRIFFIN DICKERSON (MD) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. TAYLOR GRIFFIN DICKERSON (MD)?
The snapshot lists Longview, Texas for MRS. TAYLOR GRIFFIN DICKERSON (MD); download NPPES for the complete set.
What if Longview, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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