DR. BLAKE TAYLOR D.C.
NPI 1821689605
Chiropractor in Southside, AR

Active since February 03, 2021Accepts Medicare Assignment
1997 BATESVILLE BLVD, SOUTHSIDE, AR 72501(870) 613-1464 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2021, Jul 21, 2021, Jul 15, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Blake Taylor D.c. NPPES

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

DR. BLAKE TAYLOR D.C. (NPI 1821689605) is an individual chiropractor in Southside, Arkansas, licensed in Arkansas (16269) and active in the NPI registry since February 2021. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1821689605
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BLAKE TAYLORCredential: D.C.
Location Address1997 BATESVILLE BLVDSouthside, AR 72501-7896
Mailing Address46 Atchison PlSouthside, AR 72501-8003 · (501) 291-3164
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 3, 2021
Last NPPES UpdateOctober 15, 20214 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1821689605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 16269
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1997 BATESVILLE BLVD, Southside, AR 72501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Blake Taylor D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123436243
PECOS Enrollment IDI20210409000318

Medicare Billing Reassignment

Medicare enrollment records show Blake Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1997 BATESVILLE BLVD
Southside, AR 72501
  • Reassigned Medicare billing, Arkansas enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
239 services33 patients

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
1997 BATESVILLE BLVD
SOUTHSIDE, AR 72501
Clinic/Center (Adult Mental Health)
1997 BATESVILLE BLVD
SOUTHSIDE, AR 72501
Clinic/Center (Urgent Care)
1997 BATESVILLE BLVD
BATESVILLE, AR 72501
Clinic/Center
1997 BATESVILLE BLVD
SOUTHSIDE, AR 72501

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 Blake Taylor's NPI number?

The NPI number for Blake Taylor is 1821689605. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Blake Taylor located?

Blake Taylor practices at 1997 Batesville Blvd, Southside, AR 72501. The listed phone number is (870) 613-1464.

What is Blake Taylor's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Blake Taylor enrolled in Medicare?

Yes. Blake Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Blake Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Taylor reassigns Medicare benefits to Southside Family Chiropractic, LLC (Southside, AR). 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 Blake Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Taylor accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Blake 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 Blake Taylor was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.