Individual provider Active NPI

Taylor Grimmett, PA-C

  • Physician Assistant
  • Clayton, GA
National Provider Identifier
1720969066
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13361 Issued in GA
Practice address
458 N Main St
Clayton, GA 30525-4254
Phone
(706) 960-9550
Fax
(706) 960-9551
NPI assigned
Sep 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 13361 GA Primary

Addresses

Primary practice location

458 N Main St
Clayton, GA 30525-4254

Mailing address

458 N Main St
Clayton, GA 30525-4254
Phone (706) 960-9550

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022004476 GA Practitioner - Physician Assistant 0648768556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Medical Services LLCGroup PAC ID 0840527255, 4 clinicians

Practice addresses (Care Compare)

773 N Main St
Clayton, GA 30525-4254
Phone (706) 960-9550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13361GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Services, LLC CurrentSince Sep 16, 2025 Accepting new patients

Locations

458 N Main St
Clayton, GA 30525
Phone (706) 960-9550

773 N Main St
Clayton, GA 30525
Phone (706) 782-0468

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19533/brand/1/csg/1/fhir/r4
  • Direct secure messaging: taylor.grimmett.pa-c.1@19533.direct.athenahealth.com

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 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": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720969066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N MAIN ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254254",
            "telephone_number": "706-960-9550",
            "fax_number": "706-960-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N MAIN ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254254",
            "telephone_number": "706-960-9550",
            "fax_number": "706-960-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

Verify at the official NPI Registry.