Individual provider Active NPI

Taylor Dail Jacoby, P.A.

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1184099327
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6335 S East St
Indianapolis, IN 46227-7112
Phone
(317) 783-7474
Fax
(317) 783-2283
NPI assigned
Dec 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KY Primary

Addresses

Primary practice location

6335 S East St
Indianapolis, IN 46227-7112

Mailing address

7613 Kemberton Dr E
Nolensville, TN 37135-4036
Phone (859) 707-8821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170509000190 TN Practitioner - Physician Assistant 1052617446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Medical Group - the Frist Clinic IncGroup PAC ID 7517854508, 56 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 400
Nashville, TN 37203-1575
Phone (615) 342-5900

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Merit-based Incentive Payment System (MIPS)

Final score
81.92 of 100Reported as group
Quality
70.32
Promoting interoperability
100
Improvement activities
40
Cost
69.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Group - the Frist Clinic Inc Physician Assistant CurrentSince May 26, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

330 23rd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 342-6010

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2400 Patterson St
Ste 400
Nashville, TN 37203
Phone (615) 342-5941

Organizations & group practices 2

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": "1449964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1184099327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 KEMBERTON DR E",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371354036",
            "telephone_number": "859-707-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277112",
            "telephone_number": "317-783-7474",
            "fax_number": "317-783-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "TAYLOR",
        "middle_name": "DAIL",
        "name_prefix": "Miss",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-13",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.