Alicia Noel Taylor, PA-C, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2568 Issued in TN

Practice address

2212 Jacksboro Pike
La Follette, TN 37766-2903

Phone

(423) 201-9287

Fax

(423) 201-9290

NPI assigned

Sep 1, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alicia Noel Perry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1861892424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PROCTOR BLVD",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413543",
            "telephone_number": "606-515-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662903",
            "telephone_number": "423-201-9287",
            "fax_number": "423-201-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALICIA",
        "middle_name": "NOEL",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-01",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "PERRY",
            "middle_name": "NOEL",
            "credential": "PA-C, MPAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Sturgill, PTA
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• Mary Emily Tamer
• Charlotte Taylor, CPNP/AGNP-C
• Stephen Michael Teague, MD
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• Tennessee Cancer Specialists, PLLC
• Tennessee Cancer Specialists, PLLC

• Physician Assistant in La Follette, TN
• Providers in La Follette, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.