Individual provider Active NPI

Taylor Elizabeth Nichols, PA-C

  • Physician Assistant
  • Hampton, VA
National Provider Identifier
1376389130
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9 Manhattan SQ Ste a
Hampton, VA 23666-6262
Phone
(757) 838-6335
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 Primary

Addresses

Primary practice location

9 Manhattan SQ Ste a
Hampton, VA 23666-6262

Mailing address

470 Wrenn Cir
Newport News, VA 23608-3056
Phone (410) 713-2099

Other practice location 1

3321 W Mercury Blvd
Hampton, VA 23666-3806
Phone (757) 224-0056

Other practice location 2

6567 George Washington Memorial Hwy
Gloucester, VA 23061-3754
Phone (804) 824-9962

Other practice location 3

120 Monticello Ave
Williamsburg, VA 23185-2840
Phone (757) 564-3627

Other practice location 4

12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446

Other practice location 5

4740 George Washington Mem Hwy Ste A
Yorktown, VA 23692-2512
Phone (757) 890-6339

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
I20240912002762 VA Practitioner - Physician Assistant 1759821085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michumi PLLCGroup PAC ID 5193784395, 40 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

120 Monticello Ave
Williamsburg, VA 23185-2840
Phone (757) 564-3627

3321 W Mercury Blvd
Hampton, VA 23666-3858
Phone (757) 224-0056

9 Manhattan SQ
Suite a
Hampton, VA 23666-6262
Phone (757) 838-6335

Hospital & facility affiliations

  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Peninsula Radiological Associates Limited Past Accepting new patients

Locations

9 Manhattan Sq
Ste A
Hampton, VA 23666
Phone (757) 838-6335

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 3

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 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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1376389130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WRENN CIR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083056",
            "telephone_number": "410-713-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MANHATTAN SQ STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666262",
            "telephone_number": "757-838-6335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3321 W Mercury Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236663806",
            "country_code": "US",
            "telephone_number": "757-224-0056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6567 George Washington Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230613754",
            "country_code": "US",
            "telephone_number": "804-824-9962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852840",
            "country_code": "US",
            "telephone_number": "757-564-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12997 Warwick Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236028352",
            "country_code": "US",
            "telephone_number": "757-369-9446",
            "fax_number": "757-369-9554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4740 George Washington Mem Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236922512",
            "country_code": "US",
            "telephone_number": "757-890-6339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.