DAVONIA TAYLOR
NPI 1508483454
Nurse Practitioner - Primary Care in Huntsville, AL
About Davonia Taylor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVONIA TAYLOR (NPI 1508483454) is an individual primary care provider in Huntsville, Alabama, licensed in Alabama (1-185766) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
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)
Davonia Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Davonia Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Huntsville, AL 35801
- Reassigned Medicare billing, Alabama enrollment
- 3 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 35801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Davonia Taylor's NPI number?
The NPI number for Davonia Taylor is 1508483454. It was assigned to this individual provider in the NPPES registry on June 26, 2020.
Where is Davonia Taylor located?
Davonia Taylor practices at 209 Longwood Dr SW, Huntsville, AL 35801. The listed phone number is (256) 603-4515.
What is Davonia Taylor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Davonia Taylor enrolled in Medicare?
Yes. Davonia Taylor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Davonia Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davonia Taylor reassigns Medicare benefits to Southern Grace Medical Care, LLC (Huntsville, AL). 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 Davonia Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Davonia Taylor accept?
Health plans from Blue Cross and Blue Shield of Alabama list Davonia Taylor 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 Davonia Taylor was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Davonia Taylor · NPI 1508483454
Primary Care physician in Huntsville, Alabama. Individual provider, active in the CMS NPPES registry since June 26, 2020.
## Identity
- **NPI:** 1508483454 (Entity type: Individual)
- **Enumerated:** June 26, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1-185766 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 209 LONGWOOD DR SW, Huntsville, AL 35801-5243
- **Phone:** (256) 603-4515
## 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:** Southern Grace Medical Care, LLC (NPI 1649890211, Huntsville, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** December 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508483454) · Data from the CMS NPPES public registry.