TAYLOR NICOLE FIVEASH FNP-C
NPI 1962922427
Nurse Practitioner - Primary Care in Valdosta, GA
About Taylor Nicole Fiveash Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR NICOLE FIVEASH FNP-C (NPI 1962922427) is an individual primary care provider in Valdosta, Georgia, licensed in Georgia (230599) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and maintains a secondary practice location in Douglas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Taylor Nicole Fiveash Fnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show Taylor Fiveash reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Valdosta, GA 31602
- Reassigned Medicare billing, Georgia enrollment
- 61 clinicians in this Medicare group
Valdosta, GA 31602
- Reassigned Medicare billing, Georgia enrollment
- 183 clinicians in this Medicare group
Thomasville, GA 31792
- Reassigned Medicare billing, Georgia enrollment
- 147 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sgmc Health
Acute Care Hospitals · Valdosta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31602 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 Taylor Fiveash's NPI number?
The NPI number for Taylor Fiveash is 1962922427. It was assigned to this individual provider in the NPPES registry on June 26, 2017.
Where is Taylor Fiveash located?
Taylor Fiveash practices at 101 W Northisde Dr, Bldg G, Valdosta, GA 31602. The listed phone number is (912) 384-0600.
What is Taylor Fiveash's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Taylor Fiveash enrolled in Medicare?
Yes. Taylor Fiveash 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 organizations bill Medicare for Taylor Fiveash's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Fiveash reassigns Medicare benefits to 3 organizations: Sgmc Affiliated Services LLC (Valdosta, GA), Sgmc Physician Network Inc (Valdosta, GA) and South Georgia Emergency Medicine Associates PC (Thomasville, GA). Each 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 Taylor Fiveash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Taylor Fiveash accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Taylor Fiveash 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.
Is Taylor Fiveash affiliated with any hospitals?
According to CMS data, Taylor Fiveash is affiliated with Sgmc Health.
When was this NPI record last updated?
The NPPES record for Taylor Fiveash was last updated on January 28, 2019. 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.
# Taylor Nicole Fiveash, FNP-C · NPI 1962922427
Primary Care physician in Valdosta, Georgia. Individual provider, active in the CMS NPPES registry since June 26, 2017.
## Identity
- **NPI:** 1962922427 (Entity type: Individual)
- **Enumerated:** June 26, 2017
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 230599 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 W NORTHISDE DR, BLDG G, Valdosta, GA 31602
- **Phone:** (912) 384-0600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sgmc Affiliated Services LLC (NPI 1114740362, Valdosta, GA); Sgmc Physician Network Inc (NPI 1417597170, Valdosta, GA); South Georgia Emergency Medicine Associates PC (NPI 1386903649, Thomasville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962922427) · Data from the CMS NPPES public registry.