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

Taylor Bateh

Individual provider Physician Assistant · NPI 1124861596

Taylor Bateh is a Physician Assistant in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Memorial Family Practice Associates, LLC, a 50-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

3627 University Blvd S Ste 210
Jacksonville, FL 32216-4256
Phone: (904) 486-6466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124861596
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2024
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address3627 University Blvd S Ste 210, Jacksonville, FL 32216-4256

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Memorial Family Practice Associates, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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