Individual provider Active NPI

Taylor David Simmons, PA

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1023572088
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110008988 Issued in VA
Practice address
1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone
(757) 252-3050
Fax
(757) 222-3106
NPI assigned
Jan 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110008988 VA Primary

Addresses

Primary practice location

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884

Mailing address

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Other practice location 1

1149 Seminole Trl
Charlottesville, VA 22901-2897
Phone (434) 978-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000506 VA Practitioner - Physician Assistant 0042617235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

1149 Seminole TRL
Charlottesville, VA 22901-2897
Phone (434) 978-3998

260 Pantops Ctr
Charlottesville, VA 22911-8601
Phone (434) 244-3027

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110008988VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince Mar 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Mar 1, 2023 Accepting new patients

Locations

1149 Seminole Trl
Charlottesvle, VA 22901
Phone (434) 978-3998

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1023572088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK # 3",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645884",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK # 3",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645884",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 Seminole Trl",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012897",
            "country_code": "US",
            "telephone_number": "434-978-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TAYLOR",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110008988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.