KRISTY SHANTA TAYLOR FNP-C
NPI 1295388775
Nurse Practitioner - Family in Decatur, GA
About Kristy Shanta Taylor Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTY SHANTA TAYLOR FNP-C (NPI 1295388775) is an individual family provider in Decatur, Georgia, licensed in Tennessee (25915) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristy Shanta Taylor Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristy Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 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 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DECATUR, GA 30033
DECATUR, GA 30033
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 Kristy Taylor's NPI number?
The NPI number for Kristy Taylor is 1295388775. It was assigned to this individual provider in the NPPES registry on July 23, 2019.
Where is Kristy Taylor located?
Kristy Taylor practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.
What is Kristy Taylor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristy Taylor enrolled in Medicare?
Yes. Kristy Taylor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristy Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Taylor reassigns Medicare benefits to Peachtree Immediate Care Fp, LLC (Hiram, GA). The 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 Kristy Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristy Taylor was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Kristy Shanta Taylor, FNP-C · NPI 1295388775
Family physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since July 23, 2019.
## Identity
- **NPI:** 1295388775 (Entity type: Individual)
- **Enumerated:** July 23, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 25915 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1670 CLAIRMONT RD, Decatur, GA 30033-4004
- **Phone:** (404) 321-6111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1295388775) · Data from the CMS NPPES public registry.