MRS. ADDISON JOHNSON TAYLOR (PA-C) – Physician Assistant, NPI 1235800772

MRS. ADDISON JOHNSON TAYLOR (PA-C) is a healthcare provider. based in Richmond, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110009371 (VA). The NPI Number for MRS. ADDISON JOHNSON TAYLOR (PA-C) is 1235800772

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ADDISON JOHNSON TAYLOR (PA-C)
NPI
1235800772
Phone
(804) 828-7929
Address
1001 E Leigh St
Enumeration Date
24 September 2021
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8048288737
Graduation Year
2021 (5 years ago)
PAC ID
3375932809
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20240806003124
Address ID
VA232191914RI401XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for MRS. ADDISON JOHNSON TAYLOR (PA-C)

  • 1001 E Leigh St

    Richmond, VA 232985004

    Phone: (804) 828-7929

    Fax: (804) 827-0049

    Type: Location

  • 1250 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 828-9000

    Type: Location

  • 2035 Waterside Rd Ste 100

    Prince George, VA 238751265

    Phone: (804) 957-6287

    Fax: (804) 827-0049

    Type: Location

  • 321 Park Hill Dr

    Fredericksburg, VA 224013375

    Phone: (540) 891-1122

    Fax: (804) 827-0049

    Type: Location

  • 9105 Stony Point Dr

    Richmond, VA 232351979

    Phone: (804) 560-4483

    Fax: (804) 287-6119

    Type: Location

  • 3470 Mayland Ct

    Richmond, VA 232331468

    Phone: (804) 527-4538

    Fax: (804) 827-0049

    Type: Location

  • 569 W BOBIER DR APT 304

    VISTA, CA 920831832

    Phone: (804) 839-1202

    Type: Mailing

  • 28078 BAXTER RD STE 530

    MURRIETA, CA 925631405

    Phone: (951) 249-2526

    Type: Location

  • PO BOX 780125

    PHILADELPHIA, PA 191780125

    Phone: (804) 922-4844

    Type: Mailing

  • 9109 STONY POINT DR

    RICHMOND, VA 232351979

    Phone: (804) 827-0049

    Fax: (804) 827-6070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,970.

Total Amount is formed as General ($1,970) + Research ($0) + Ownership ($0) = $1,970.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Medtronic, Inc. ($1,415).

Total Amount

$1,970

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,970

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

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: 2024-08-06

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
I20240806003124IPhysician AssistantVATBD

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 minutes6150$0
17250Application of chemical to stop tissue regrowth in wound2016$0
46600Diagnostic exam of anus using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 23298)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

How do I look up MRS. ADDISON JOHNSON TAYLOR (PA-C) by NPI?
Use NPI 1235800772 when you need to reference MRS. ADDISON JOHNSON TAYLOR (PA-C) in forms, claims, or directories.
Is MRS. ADDISON JOHNSON TAYLOR (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MRS. ADDISON JOHNSON TAYLOR (PA-C) treat or focus on?
Patients typically see MRS. ADDISON JOHNSON TAYLOR (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. ADDISON JOHNSON TAYLOR (PA-C)'s primary listing?
We display Richmond, Virginia because that is what the record indicates for MRS. ADDISON JOHNSON TAYLOR (PA-C).
Is MRS. ADDISON JOHNSON TAYLOR (PA-C) a real provider?
This page reflects official NPPES data for NPI 1235800772. Always confirm identity and privileges with the practice and licensing boards.

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