Provider Demographics
NPI:1548886641
Name:TAYLOR, KAYLA MORGAN (PA)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:MORGAN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5670 PEACHTREE DUNWOODY RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4795
Mailing Address - Country:US
Mailing Address - Phone:404-851-2300
Mailing Address - Fax:404-843-9838
Practice Address - Street 1:5670 PEACHTREE DUNWOODY RD STE 1100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4795
Practice Address - Country:US
Practice Address - Phone:404-851-2300
Practice Address - Fax:404-843-9838
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12309363A00000X, 363A00000X
SC3594363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4505PAMedicaid