Taylor Carlyle Bazemore
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Wilmington, NC
NPI 1144648270 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1144648270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- 2017-01994 (NC)
- Practice address
- 1415 Physicians Dr
Wilmington, NC 28401-7338 - Phone
- (910) 662-9500
- Fax
- (910) 662-9501
- NPI assigned
- Apr 5, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group Coastal Region LLC
Novant Health New Hanover Regional Medical Center LLC
Brunswick Community Hospital LLC
Pender Memorial Hospital Incorporated
Practice addresses (Care Compare)
1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500
151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-9073
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (336) 399-7678
507 E Fremont St
Burgaw, NC 28425-5131
Phone (910) 300-4000
9104 Market St
Wilmington, NC 28411-7994
Phone (910) 686-2840
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
- Pender Memorial Hospital
- J Arthur Dosher Memorial Hospital
- Columbus Regional Healthcare System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 78 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171219003191 | NC | Practitioner - Hospitalist |
7012286230 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-01994 | NC | MD | Clinical Cardiac Electrophysiology Physician |
| 200853 | NC | MD | Family Nurse Practitioner |
Practice roles
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
Interoperability endpoints
- tbazemore@crhn.cernerdirect.com
- tbazemore160838@directhisp.wakemed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2017-01994 | NC | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 2017-01994 | NC | Yes |
Addresses
Primary practice location
1415 Physicians Dr
Wilmington, NC 28401-7338
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9500
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Other practice location 2
Unc Center For Heart Vascular 6th Floor Fl Burnett-
Chapel Hill, NC 27599-4699
Phone (919) 966-5205
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144648270 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbazemore515961@direct.novanthealth.org | ||
| Direct Messaging Address | tbazemore160838@directHISP.wakemed.org | Direct |
Other providers in Wilmington, NC
- Melinda Jean Baum
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Jessica Helen Baylor
- Beach Care PC
- Jazz Alice Beach
- Beacon Bridge - Wilmington LLC
- Beacon Counseling Center
- Beacon of Hope Counseling, PLLC
All providers in Wilmington, NC · Clinical Cardiac Electrophysiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.