MR. ANTONIO DEON TAYLOR LPC
NPI 1912273608
Counselor - Professional in Sparta, TN

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
3380 WALNUT GROVE RD, SPARTA, TN 38583(931) 372-7117(931) 372-7119 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2023, Jul 21, 2022, Jul 27, 2017 (3 updates tracked since 2017).

About Mr. Antonio Deon Taylor Lpc NPPES

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

MR. ANTONIO DEON TAYLOR LPC (NPI 1912273608) is an individual professional provider in Sparta, Tennessee, licensed in Tennessee (4020) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1912273608
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ANTONIO DEON TAYLORCredential: LPC
Location Address3380 WALNUT GROVE RDSparta, TN 38583-5365
Mailing Address3380 Walnut Grove RdSparta, TN 38583-5365 · (931) 372-7117 · Fax (931) 372-7118
Fax(931) 372-7119
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 27, 2012
Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1912273608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 4020
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3380 WALNUT GROVE RD, Sparta, TN 38583

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

Mr. Antonio Deon Taylor Lpc 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 ID9436593266
PECOS Enrollment IDI20240220001527
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.

Medicare Billing Reassignment

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

Professional
3380 WALNUT GROVE RD
Sparta, TN 38583
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 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.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
3380 WALNUT GROVE RD
SPARTA, TN 38583
Nurse Practitioner (Psychiatric/Mental Health)
3380 WALNUT GROVE RD
SPARTA, TN 38583
Counselor (Professional)
3380 WALNUT GROVE RD
SPARTA, TN 38583
Nurse Practitioner (Psychiatric/Mental Health)
3380 WALNUT GROVE RD
SPARTA, TN 38583
Counselor
3380 WALNUT GROVE RD
SPARTA, TN 38583
Counselor (Mental Health)
3380 WALNUT GROVE RD
SPARTA, TN 38583
Counselor
3380 WALNUT GROVE RD
SPARTA, TN 38583
Counselor (Mental Health)
3380 WALNUT GROVE RD
SPARTA, TN 38583

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 Antonio Taylor's NPI number?

The NPI number for Antonio Taylor is 1912273608. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Antonio Taylor located?

Antonio Taylor practices at 3380 Walnut Grove Rd, Sparta, TN 38583. The listed phone number is (931) 372-7117.

What is Antonio Taylor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Antonio Taylor enrolled in Medicare?

Yes. Antonio 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 Antonio Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Taylor reassigns Medicare benefits to Infinite Possibilities Counseling (Sparta, TN). 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 Antonio Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Taylor accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Antonio 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 Antonio Taylor was last updated on July 28, 2023. 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.