KELLY MACKLIN ROGERS TAYLOR MD, M RES - NPI 1306460829 - Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Q: What is Kelly Taylor's NPI number?

The NPI number for Kelly Taylor is 1306460829. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Q: What is Kelly Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Taylor was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly Macklin Rogers Taylor Md, M Res NPPES

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

KELLY MACKLIN ROGERS TAYLOR MD, M RES (NPI 1306460829) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116040557) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306460829

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLY MACKLIN ROGERS TAYLORCredential: MD, M RES

Location Address1215 LEE STREET BOX 801016Charlottesville, VA 22908-0816

Mailing Address1215 Lee Street Box 801016Charlottesville, VA 22908-0816 · (434) 924-2663 · Fax (434) 244-4454

Phone(434) 924-2663

Fax(434) 244-4454

Sole ProprietorNo

Enumeration DateJune 1, 2020

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1306460829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in VA · 0116040557

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE STREET BOX 801016, Charlottesville, VA 22908

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Macklin Rogers Taylor Md, M Res 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.

Other Providers at the Same Location NPPES 5

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

DR. JOHN JOSEPH CARROLL M.D.

Student in an Organized Health Care Education/Training Program