Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gabriela L Taylor, PA

Individual provider Physician Assistant · NPI 1043902265

Gabriela L Taylor, PA is a Physician Assistant in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-3096
Phone: (574) 237-9294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 52500 Fir Rd, Granger, IN 46530-8579 — (574) 237-9294

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043902265
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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