TAYLOR REGIONAL MEDICAL GROUP LLC
NPI 1073817581
Otolaryngology in Campbellsville, KY

Q: What is Taylor Regional Medical Group LLC's NPI number?

The NPI number for Taylor Regional Medical Group LLC is 1073817581. It was assigned to this organization in the NPPES registry on December 28, 2010. The provider is doing business as Taylor Regional ENT.

Q: What is Taylor Regional Medical Group LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since December 28, 2010

105 GREENBRIAR DR, SUITE A, CAMPBELLSVILLE, KY 42718(270) 465-3595(270) 789-2044 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2025, Feb 11, 2025, Nov 14, 2023 (3 updates tracked since 2023).

On this page

About Taylor Regional Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR REGIONAL MEDICAL GROUP LLC (NPI 1073817581), doing business as Taylor Regional Ent, is a healthcare organization registered as an otolaryngology in Campbellsville, Kentucky and active in the NPI registry since December 2010. The organization maintains 2 additional practice locations and lists Debra Ann Waldron, Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073817581

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameTAYLOR REGIONAL MEDICAL GROUP LLC

Location Address105 GREENBRIAR DR, SUITE ACampbellsville, KY 42718-9617

Mailing Address1698 Old Lebanon RdCampbellsville, KY 42718-3319 · (270) 789-6087 · Fax (270) 789-6119

Phone(270) 465-3595

Fax(270) 789-2044

Organization SubpartNo

Authorized OfficialDebra Ann WaldronCoordinator · (270) 465-3561

Enumeration DateDecember 28, 2010

Last NPPES UpdateMay 27, 20253 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1073817581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

105 GREENBRIAR DR, Campbellsville, KY 42718

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Other Names 1

Doing Business AsTaylor Regional Ent

Secondary Practice Locations 2

Location 1215 N Depot StLebanon, KY 40033-1419 · Phone (270) 789-3595 · Fax (270) 789-2044

Location 2187 Will Walker RdColumbia, KY 42728-7436 · Phone (270) 465-3595 · Fax (270) 789-2044

Other Identifiers 3

Medicaid7100149690KY

Medicaid7100157910KY

Medicaid7100311680KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Regional Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20051221000527Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 67 clinicians reassign Medicare billing to Taylor Regional Medical Group LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner31

Internal Medicine5

General Surgery4

Family Practice3

Neurology3

Orthopedic Surgery3

Certified Nurse Midwife (CNM)2

Hospitalist2

11 other specialties14

Nearest to this location (20)

See all 67

Jamie Atwood

Nurse Practitioner

NPI 1316002967

105 GREENBRIAR DR STE B
Campbellsville, KY 42718

(270) 465-3115

✔ PECOS✔ Accepts MedicareSame address

Olivia Taylor

Nurse Practitioner

NPI 1053202044

105 GREENBRIAR DR STE B
Campbellsville, KY 42718

(270) 465-3568

✔ PECOS✔ Accepts MedicareSame address

Kimberly Wurth-Frazier, MD

Obstetrics/Gynecology

NPI 1427030766

105 GREENBRIAR DR STE B
Campbellsville, KY 42718

(270) 465-3568

✔ PECOS✔ Accepts MedicareSame address

James Ewing, MD

Otolaryngology

NPI 1376532564

105 GREENBRIAR DR SUITE A
Campbellsville, KY 42718

(270) 465-3595

✔ PECOS✔ Accepts MedicareSame address

Margaret Strait, AUD

Qualified Audiologist

NPI 1255788212

105 GREENBRIAR DR
Campbellsville, KY 42718

(270) 789-6087

Same address

Jason Wright, APRN

Nurse Practitioner

NPI 1144646068

105 GREENBRIAR DR
Campbellsville, KY 42718

(270) 465-3595

✔ PECOS✔ Accepts MedicareSame address

Jesse Robinson, APRN

Nurse Practitioner

NPI 1760110266

1862 OLD LEBANON RD
Campbellsville, KY 42718

(270) 789-6178

✔ PECOS✔ Accepts Medicare0.1 mi

Syed Furqan Gilani, M.B.B.S

Orthopedic Surgery

NPI 1083873186

1700 OLD LEBANON RD
Campbellsville, KY 42718

(270) 465-3561

✔ PECOS✔ Accepts Medicare0.1 mi

Samantha Arnett, APRN

Nurse Practitioner

NPI 1437950987

1700 OLD LEBANON RD
Campbellsville, KY 42718

(270) 465-3561

✔ PECOS✔ Accepts Medicare0.1 mi

Monte Martin, M.D.

Medical Oncology

NPI 1821138686

125 GREENBRIAR DR
Campbellsville, KY 42718

(207) 789-6166

✔ PECOS✔ Accepts Medicare0.1 mi

James Frank, D.O

Hospitalist

NPI 1750544946

1700 OLD LEBANON RD
Campbellsville, KY 42718

(270) 789-6082

✔ PECOS✔ Accepts Medicare0.2 mi

Meredith Angel, M.D.

Urology

NPI 1053724278

1698 OLD LEBANON RD
Campbellsville, KY 42718

(270) 789-2471

✔ PECOS✔ Accepts Medicare0.2 mi

Michael Bahr, M.D.

General Surgery

NPI 1396965562

1698 OLD LEBANON RD # 2A
Campbellsville, KY 42718

(270) 789-0587

✔ PECOS✔ Accepts Medicare0.2 mi

Eugene Shively, M.D.

General Surgery

NPI 1396720132

1698 OLD LEBANON RD SUITE 2A
Campbellsville, KY 42718

(270) 465-2821

✔ PECOS0.2 mi

Galen Weiss, M.D.

Orthopedic Surgery

NPI 1619969631

1698 OLD LEBANON RD SUITE 3A
Campbellsville, KY 42718

(270) 465-0632

✔ PECOS✔ Accepts Medicare0.2 mi

Phillip Hasler, DPM

Podiatry

NPI 1427369164

100 MEDICAL PARK DR
Campbellsville, KY 42718

(270) 465-0632

✔ PECOS✔ Accepts Medicare0.2 mi

Matthew Martin, D.O.

Pediatric Medicine

NPI 1134447410

125 KINGSWOOD DR
Campbellsville, KY 42718

(270) 789-1112

✔ PECOS0.3 mi

Joel Eade, MD

Internal Medicine

NPI 1699772335

95 KINGSWOOD DR
Campbellsville, KY 42718

(270) 465-3812

✔ PECOS✔ Accepts Medicare0.3 mi

David Montgomery, MD

Internal Medicine

NPI 1538151139

95 KINGSWOOD DR
Campbellsville, KY 42718

(270) 465-3812

✔ PECOS✔ Accepts Medicare0.3 mi

David Hesson, M.D.

Pediatric Medicine

NPI 1982721254

73 KINGSWOOD DR
Campbellsville, KY 42718

(270) 789-1112

✔ PECOS0.3 mi

See all 67 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Regional Medical Group LLC's NPI number?

The NPI number for Taylor Regional Medical Group LLC is 1073817581. It was assigned to this organization in the NPPES registry on December 28, 2010. The provider is doing business as Taylor Regional ENT.

Where is Taylor Regional Medical Group LLC located?

Taylor Regional Medical Group LLC is located at 105 Greenbriar Dr Suite A, Campbellsville, KY 42718. The listed phone number is (270) 465-3595.

What is Taylor Regional Medical Group LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Taylor Regional Medical Group LLC enrolled in Medicare?

Yes. Taylor Regional Medical Group LLC is registered in the Medicare PECOS enrollment system.

When is Taylor Regional Medical Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Taylor Regional Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 19 Medicare specialties reassign their Medicare billing to Taylor Regional Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (31), Internal Medicine (5) and General Surgery (4). Of these, 6 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Taylor Regional Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Taylor Regional Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taylor Regional Medical Group LLC was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.