Individual provider Active NPI

Taylor Nicole Weintraub

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1518521871
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
13217 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste 101
Atlanta, GA 30327-4107
Phone
(404) 351-7546
Fax
(404) 351-2993
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 13217 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste 101
Atlanta, GA 30327-4107

Mailing address

3280 Howell Mill Rd NW Ste 101
Atlanta, GA 30327-4107
Phone (404) 351-7546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230000159 IL Practitioner - Physician Assistant 3779974746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants, P.C. PastSince Aug 10, 2025 Accepting new patients
Physicians Dermpath Laboratory PastSince Nov 28, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tweintraub@directaddress.net
  • Direct secure messaging: tweintraub@illinois.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1518521871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274107",
            "telephone_number": "404-351-7546",
            "fax_number": "404-351-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274107",
            "telephone_number": "404-351-7546",
            "fax_number": "404-351-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "13217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.