Active NPI
Jalyn Latisha Taylor
- Physician Assistant
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13559
- Practice address
- 5721 USA Drive North
Mobile, AL 36688-0001 - Phone
- (251) 445-9334
- NPI assigned
- Jul 20, 2024
- Last updated
- Nov 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13559 | GA | Primary |
Addresses
Primary practice location
5721 USA Drive North
Mobile, AL 36688-0001
Mailing address
2730 Ashbury LN
Cantonment, FL 32533-6626
Phone (850) 529-9962
Other practice location 1
4645 Timber Ridge Dr
Douglasville, GA 30135-7541
Phone (770) 942-7696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 Northridge Rd
Suite 400
Atlanta, GA 30350-3314
P O Box
Suite 23662
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13559 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Allergy & Asthma Clinic PA | Current | Accepting new patients |
Locations
100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000
4645 Timber Ridge Dr
Ste 160
Douglasville, GA 30135
Phone (770) 942-7696
114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJBFBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology Physician
- Atlanta, GA
- NPI 1598796195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1205674413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 ASHBURY LN",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325336626",
"telephone_number": "850-529-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 USA DRIVE NORTH",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880001",
"telephone_number": "251-445-9334"
}
],
"practiceLocations": [
{
"address_1": "4645 Timber Ridge Dr",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301357541",
"country_code": "US",
"telephone_number": "770-942-7696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "JALYN",
"middle_name": "LATISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "13559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.