Individual provider Active NPI

David Duncan Taylor

  • Medical Physician Assistant
  • Morehead City, NC
National Provider Identifier
1114488640
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3715 Guardian Ave
Morehead City, NC 28557-4323
Phone
(252) 222-3144
NPI assigned
Mar 27, 2019
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3715 Guardian Ave
Morehead City, NC 28557-4323

Mailing address

1514 Audubon LN
Morehead City, NC 28557-8000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923003440 NC Practitioner - Physician Assistant 8921338633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1379 Cowell Farm Rd
Washington, NC 27889-3495
Phone (252) 975-8852

215 Memorial Dr
BLDG B
Jacksonville, NC 28546-6333
Phone (910) 378-2498

231 Memorial Dr
Suite Ab
Jacksonville, NC 28546-6333
Phone (910) 353-5354

3715 Guardian Ave
Morehead City, NC 28557-4323
Phone (252) 222-3144

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-3266
Phone (919) 783-8898

Merit-based Incentive Payment System (MIPS)

Final score
90.19 of 100Reported as group
Quality
84.52
Promoting interoperability
100
Improvement activities
40
Cost
82.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Port Health Services CurrentSince Aug 12, 2019 Accepting new patients
Port Health Services CurrentSince Aug 12, 2019 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients

Locations

203 Government Cir
Greenville, NC 27834
Phone (252) 413-1600

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

215 Memorial Dr
Bldg B
Jacksonville, NC 28546
Phone (910) 378-2498

3714 Guardian Ave
Ste E
Morehead City, NC 28557
Phone (252) 222-5862

3715 Guardian Ave
Morehead City, NC 28557
Phone (252) 222-3144

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

1379 Cowell Farm Rd
Washington, NC 27889
Phone (252) 975-8852

Interoperability endpoints

  • Direct secure messaging: david.taylor.1@9526.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1114488640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 AUDUBON LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285578000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 GUARDIAN AVE",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574323",
            "telephone_number": "252-222-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAVID",
        "middle_name": "DUNCAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.