Individual provider Active NPI

Taylor R Elam, PA-C

  • Physician Assistant
  • Mt Sterling, KY
National Provider Identifier
1245683788
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
624 Maysville Rd
Mt Sterling, KY 40353-9767
Phone
(859) 497-4144
Fax
(859) 498-4137
NPI assigned
Jul 20, 2016
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

624 Maysville Rd
Mt Sterling, KY 40353-9767

Mailing address

PO Box 936
London, KY 40743-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20161107000579 KY Practitioner - Physician Assistant 8820376296 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

1850 Bypass Rd
Winchester, KY 40391-2300
Phone (859) 744-5111

227 Falcon Dr
Mt Sterling, KY 40353-9792

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

624 Maysville Rd
Mt Sterling, KY 40353-9767
Phone (859) 497-4144

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Aug 24, 2016 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

101 Jb Shannon Dr
Ste Ab
Flemingsburg, KY 41041
Phone (606) 209-0010

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339

624 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 497-4144

1850 Bypass Rd
Winchester, KY 40391
Phone (859) 744-5111

Interoperability endpoints

  • Direct secure messaging: telam275030@direct.stlukeshealth.org

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.

Hospital & facility affiliations 2

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1245683788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MAYSVILLE RD",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539767",
            "telephone_number": "859-497-4144",
            "fax_number": "859-498-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "TAYLOR",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.