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Active NPI 1972349884 Individual Practitioner Male Practitioner

Nicholas T Taylor , PA-C

Physician Assistant • Summerfield, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Taylor, PA-C is a certified Physician Assistant practicing in Summerfield, FL. With approximately 2 years of clinical experience since completing medical education in 2024, Nicholas Taylor delivers high-quality medical care to the local community at 17154 SE 109TH TERRACE RD.

Nicholas Taylor is affiliated with Cerebrum Healthcare Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

17154 Se 109th Terrace Rd

Summerfield, FL 344919017

Telephone 3524780010
Associated Practice Facility / Clinic
🏢 Sujata S. Balulad, Md., Pa Facility NPI 1154897130

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summerfield, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Summerfield, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Taylor (2 Years) 2 Yrs
Summerfield Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-07-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 9118824

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Cerebrum Healthcare Llc

1730 Mayo Dr, Tavares, FL 327784308

Phone: 3525253001

Cerebrum Healthcare Llc

901 Clearwater Largo Rd N, Largo, FL 337704126

Phone: 7275862999

Cerebrum Healthcare Llc

5050 County Rd, Oxford, FL 344843750

Phone: 3526896400

Cerebrum Healthcare Llc

5121 E Serena Dr, Tampa, FL 336174012

Phone: 8139880033

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Bonni Macqueen , APN

Nurse Practitioner - Adult Health

NPI 1083057624

Advanced Practice Nurse

Ronald Kope , ARNP

Nurse Practitioner - Family

NPI 1326463407

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2024

Registered at 17154 SE 109TH TERRACE RD, SUMMERFIELD, FL 344919017 (Tel: 3524780010)

📍
Updated Business Mailing Address July 02, 2024

Registered at 17154 SE 109TH TERRACE RD, SUMMERFIELD, FL 344919017

👤
Provider Name / Credentials Updated July 02, 2024

Recorded as NICHOLAS TAYLOR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Physician Assistant (License #9118824 in FL)

🟢
Initial NPI Registration & Enumeration July 01, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972349884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2024
Last Update: July 02, 2024
Sole Proprietor: No

Mailing Address

17154 Se 109th Terrace Rd

Summerfield, FL 344919017

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.