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KRISTIN SUE ANDERSON-TAYLOR P.A.
NPI 1396805529
Physician Assistant - Medical in Summerville, GA

Active since December 11, 2006PECOS Enrolled
411 ORCHARD HILL RD, SUMMERVILLE, GA 30747(706) 978-9991 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Sue Anderson-taylor P.a. NPPES

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

KRISTIN SUE ANDERSON-TAYLOR P.A. (NPI 1396805529) is an individual medical provider in Summerville, Georgia, licensed in Georgia (6019) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396805529
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTIN SUE ANDERSON-TAYLORCredential: P.A.
Location Address411 ORCHARD HILL RDSummerville, GA 30747-6548
Mailing Address411 Orchard Hill RdSummerville, GA 30747-6548 · (706) 978-9991
Phone(706) 978-9991
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 13, 2018
✔ NPI 1396805529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in GA · 6019✔ Licensed in MI · 5601002268✔ Licensed in NY · 022313
411 ORCHARD HILL RD, Summerville, GA 30747
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Other Names 1

Former Name (1)Kristin Sue Anderson-taylor Taylor

Other Identifiers 2

Medicaid1396805529NY
Medicaid1396805529GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Sue Anderson-taylor P.a. 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.

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 Kristin Anderson-taylor's NPI number?

The NPI number for Kristin Anderson-taylor is 1396805529. It was assigned to this individual provider in the NPPES registry on December 11, 2006. The provider is also known as Kristin Sue Anderson-Taylor Taylor.

Where is Kristin Anderson-taylor located?

Kristin Anderson-taylor practices at 411 Orchard Hill Rd, Summerville, GA 30747. The listed phone number is (706) 978-9991.

What is Kristin Anderson-taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristin Anderson-taylor enrolled in Medicare?

Yes. Kristin Anderson-taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Anderson-taylor was last updated on September 13, 2018. 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.