Individual provider Active NPI

Taylor Smith Haynes, PA

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1992416853
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2681 Roosevelt Blvd Apt 7308
Clearwater, FL 33760-2988
Phone
(904) 528-7492
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

2681 Roosevelt Blvd Apt 7308
Clearwater, FL 33760-2988

Mailing address

2681 Roosevelt Blvd Apt 7308
Clearwater, FL 33760-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231109002706 FL Practitioner - Physician Assistant 0244687465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Cure LLCGroup PAC ID 3274877329, 11 clinicians

Practice addresses (Care Compare)

10870 US Hwy 1 N
Suite 104
Ponte Vedra, FL 32081-7800

10870 US Hwy 1 N
Unit 104
Ponte Vedra, FL 32081-7804

10870 US One N
Unit 104
Ponte Vedra, FL 32081-7804
Phone (904) 438-2720

3735 Longleaf Pine Pkwy
Unit 207
Saint John, FL 32259-7483
Phone (904) 438-2720

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Cure, LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

10870 US One N
Unit 104
Ponte Vedra Beach, FL 32081
Phone (904) 438-2720

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1992416853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 ROOSEVELT BLVD APT 7308",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 ROOSEVELT BLVD APT 7308",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602988",
            "telephone_number": "904-528-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TAYLOR",
        "middle_name": "SMITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.