Individual provider Active NPI

Darlene C Ifill Taylor, MD

  • Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1104956770
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015-00980 Issued in NC
Practice address
1515 Mockingbird LN Ste 360
Charlotte, NC 28209-1172
Phone
(980) 938-5001
Fax
(980) 999-5022
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO038044 MD
Psychiatry Physician 2084P0800X MD18238 DC
Psychiatry Physician 2084P0800X 2015-00980 NC Primary

Addresses

Primary practice location

1515 Mockingbird LN Ste 360
Charlotte, NC 28209-1172

Mailing address

1515 Mockingbird LN Ste 360
Charlotte, NC 28209-1172
Phone (980) 938-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170203001401 NC Practitioner - Psychiatry 4385704964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 Mockingbird LN
Suite 360
Charlotte, NC 28209-1172
Phone (980) 938-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18238MDMDGeneral Practice Dentistry
MD18238DCMDPsychiatry Physician
DO038044MDMDPsychiatry Physician
2015-00980NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Three Strand Wellness LLC Psychiatry CurrentSince Oct 1, 2025 Accepting new patients
Tailored Anesthesia Services LLC PastSince Jan 1, 2008 Accepting new patients
Greenbrook TMS Winston-Salem LLC PastSince Feb 7, 2018 Accepting new patients

Locations

1515 Mockingbird Ln
Ste 360
Charlotte, NC 28209
Phone (980) 938-5001

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1104956770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN STE 360",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091172",
            "telephone_number": "980-938-5001",
            "fax_number": "980-999-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN STE 360",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091172",
            "telephone_number": "980-938-5001",
            "fax_number": "980-999-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFILL TAYLOR",
        "first_name": "DARLENE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-12-03",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "DO038044",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD18238",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2015-00980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.