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

Mrs. Taylor Brooke Rawls

Individual provider Medical Physician Assistant · NPI 1104397330

Mrs. Taylor Brooke Rawls is a Physician Assistant in Newport News, Virginia. Qualified in 2019, 7 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2018

Practice location Address checks out

500 J Clyde Morris Blvd
Newport News, VA 23601
Phone: (757) 594-2083
Fax: (757) 594-2196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2250 Old Brick Rd Apt 2545, Glen Allen, VA 23060-5986 — (757) 814-7268

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110006658 (VA)

Record details

NPI number1104397330
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESApril 29, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newport News