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: November 01, 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, maintains 2 additional practice locations, and is a graduate of Michigan State University College Of Human Medicine (2022).

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
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2022
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.
550 PEACHTREE ST NE, Atlanta, GA 30308

Secondary Practice Locations 2

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 712-7100
Location 21 Gustave L Levy PlNew York, NY 10029-6504 · Phone (770) 344-7167

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2769941970
PECOS Enrollment IDI20260827005064
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Taylor Revere reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group

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

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.

Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308

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.

Which organizations bill Medicare for Taylor Revere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Revere reassigns Medicare benefits to 3 organizations: Emory Medical Care Foundation Inc (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Taylor Revere's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Revere accept?

Health plans from Oscar Health list Taylor Revere 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 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 4 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.