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

Taylor Ashley Revere

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255072450

Taylor Ashley Revere is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Works from 3 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone: (404) 686-4411
Show map & directions

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

Additional practice locations (2)

  • 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 — (404) 712-7100
  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (770) 344-7167

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 113721 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255072450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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