TAYLOR REGIONAL MEDICAL GROUP, LLC
NPI 1649720699
Pediatrics in Campbellsville, KY
About Taylor Regional Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR REGIONAL MEDICAL GROUP, LLC (NPI 1649720699), doing business as Taylor Regional Pediatrics, is a healthcare organization registered as a pediatrics in Campbellsville, Kentucky and active in the NPI registry since October 2016. The organization lists Debra Ann Waldron, Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taylor Regional Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
67Medicare enrollment records show 67 clinicians reassign Medicare billing to Taylor Regional Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 67Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Regional Medical Group, LLC's NPI number?
The NPI number for Taylor Regional Medical Group, LLC is 1649720699. It was assigned to this organization in the NPPES registry on October 13, 2016. The provider is doing business as Taylor Regional Pediatrics.
Where is Taylor Regional Medical Group, LLC located?
Taylor Regional Medical Group, LLC is located at 125 Kingswood Dr, Campbellsville, KY 42718. The listed phone number is (270) 789-1112.
What is Taylor Regional Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Taylor Regional Medical Group, LLC enrolled in Medicare?
Yes. Taylor Regional Medical Group, LLC is registered in the Medicare PECOS enrollment system.
When is Taylor Regional Medical Group, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Taylor Regional Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 19 Medicare specialties reassign their Medicare billing to Taylor Regional Medical Group, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (31), Internal Medicine (5) and General Surgery (4). Of these, 3 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Taylor Regional Medical Group, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Taylor Regional Medical Group, LLC 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 Regional Medical Group, LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Taylor Regional Medical Group, Llc · NPI 1649720699
Pediatrics organization in Campbellsville, Kentucky. Organization record, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1649720699 (Entity type: Organization)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Also known as:** Taylor Regional Pediatrics (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Debra Waldron, COORDINATOR
## Practice location
- **Address:** 125 KINGSWOOD DR, Campbellsville, KY 42718-9634
- **Phone:** (270) 789-1112 · **Fax:** (270) 789-6176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Kentucky, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 67 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Internal Medicine (5), General Surgery (4); 3 practice at this address and 41 within 10 miles; [full list](https://npiprofile.com/npi/1649720699/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
- **Other identifiers:** Medicaid 7100450940 (KY); Medicaid 7100450550 (KY); Medicaid 7100948510 (KY); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1649720699) · Data from the CMS NPPES public registry.