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TAYLOR ASHLEY REVERE
NPI 1255072450
Emergency Medicine in Atlanta, GA

Active since April 05, 2022PECOS Enrolled
550 PEACHTREE ST NE, ATLANTA, GA 30308(404) 686-4411 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Taylor Ashley Revere NPPES

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

TAYLOR ASHLEY REVERE (NPI 1255072450) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (113721) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255072450
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTAYLOR ASHLEY REVERE
Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212
Mailing AddressOne Gustave Levy Place, Box 1149New York, NY 10029 · (770) 344-7167
Phone(404) 686-4411
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1255072450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 113721
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 PEACHTREE ST NE, Atlanta, GA 30308
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Secondary Practice Locations 2

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (770) 344-7167
Location 21364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 712-7100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Ashley Revere is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINIC JOSEPH PAPANDRIA M.D.
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. GRANT MICHAEL MURY PAA
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 778-3900
NECHAMA DINA EZAGUI PA-S
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
SARAH NELSON
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
ADAM GARDI MD
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 259-6299
LINDSEY BORNSTEIN GOTTLIEB MD
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-8114
JONES SURGICAL GROUP LLC
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. BRIAN KEITH BROWN FNP-C
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-2505

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 Revere's NPI number?

The NPI number for Taylor Revere is 1255072450. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Taylor Revere located?

Taylor Revere practices at 550 Peachtree St NE, Atlanta, GA 30308. The listed phone number is (404) 686-4411.

What is Taylor Revere's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Taylor Revere enrolled in Medicare?

Yes. Taylor Revere is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Revere was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.