Taylor Carlyle Bazemore

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

2017-01994 Issued in NC

Practice address

1415 Physicians Dr
Wilmington, NC 28401-7338

Phone

(910) 662-9500

Fax

(910) 662-9501

NPI assigned

Apr 5, 2014

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Specialty

HospitalistAlso: Internal Medicine

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 LLCGroup PAC ID 2860809936, 577 clinicians

Novant Health New Hanover Regional Medical Center LLCGroup PAC ID 7113330168, 204 clinicians

Brunswick Community Hospital LLCGroup PAC ID 9335150895, 33 clinicians

Pender Memorial Hospital IncorporatedGroup PAC ID 9638066095, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
• Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307
• J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327
• Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbazemore@crhn.cernerdirect.com
• Direct secure messaging: tbazemore160838@directhisp.wakemed.org
• Direct secure messaging: tbazemore515961@direct.novanthealth.org

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.

• Brunswick Community Hospital, LLC

  dba Novant Health Brunswick Medical Center CRNAS

  • Certified Registered Nurse Anesthetist
  • Bolivia, NC
  • NPI 1669725198
  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group Coastal Region, LLC

  dba NHMGCR Cape Fear Heart

  • Cardiovascular Disease Physician
  • Wilmington, NC
  • NPI 1649865791
  Medicare reassignment Care Compare group NPD
• Novant Health New Hanover Regional Medical Center LLC

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
  • NPI 1750978839
  Medicare reassignment Care Compare group NPD
• Pender Memorial Hospital Incorporated

  dba Novant Health Pender Medical Center

  • Critical Access Hospital
  • Burgaw, NC
  • NPI 1053444901
  Medicare reassignment Care Compare group NPD
• Moses Cone Medical Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1427095249

  Cardiovascular Disease

  Medicare reassignment NPD
• Novant Health Ballantyne Medical Center LLC

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1760190607
  Medicare reassignment NPD
• The Moses H Cone Memorial Hospital Operating Corporation

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1356372064
  Medicare reassignment NPD
• Moses Cone Medical Services, Inc.

  dba Western Rockingham Family Medicine

  • Family Medicine Physician
  • Madison, NC
  • NPI 1629376363
  NPD
• NMG Health Services LLC

  • Maternal & Fetal Medicine Physician
  • Bolivia, NC
  • NPI 1558242495
  NPD
• Novant Health Medical Group Coastal Region, LLC

  dba Cape Fear Heart Associates

  • Cardiovascular Disease Physician
  • Wilmington, NC
  • NPI 1982280285
  NPD
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Wound Care and Hyperbaric Medicine Profee

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Wilmington, NC
  • NPI 1932958584
  NPD
• Pender Memorial Hospital, Incorporated

  dba Novant Health Pender Medical Center

  • Critical Access Hospital
  • Burgaw, NC
  • NPI 1295703130
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brunswick Community Hospital, LLC

  dba Novant Health Brunswick Medical Center

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation
• Columbus Regional Healthcare System

  dba South Columbus Medical Clinic

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Care Compare affiliation
• J Arthur Dosher Memorial Hospital

  dba Dosher Wellness Center

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1326589649

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  dba Dosher Medical - Oak Island

  • Rural Health Clinic/Center
  • Oak Island, NC
  • NPI 1235405358

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  dba Dosher Medical - Bald Head Island

  • General Practice Physician
  • Bald Head Island, NC
  • NPI 1376961219

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Critical Access Hospital
  • Southport, NC
  • NPI 1538260229
  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  dba Dosher Medical - Long Beach Road

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1568887818

  Hospital

  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  dba Novant Health Pender Medical Center

  • Critical Access Hospital
  • Burgaw, NC
  • NPI 1295703130
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  dba Novant Health Pender Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Burgaw, NC
  • NPI 1780653865
  Care Compare affiliation

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1144648270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017338",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "fax_number": "919-350-7204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Unc Center For Heart Vascular 6th Floor Fl Burnett-",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275994699",
            "country_code": "US",
            "telephone_number": "919-966-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZEMORE",
        "first_name": "TAYLOR",
        "middle_name": "CARLYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-05",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2017-01994",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "2017-01994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbazemore515961@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "Unc Center For Heart Vascular 6th Floor Fl Burnett-",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275994699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbazemore160838@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3000 New Bern Ave",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melinda Jean Baum, MSW, LCSWA
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc. (BAYADA Habilitation)
• Bayada Home Health Care, Inc.
• Jessica Helen Baylor, OTR/L
• Beach Care PC
• Jazz Alice Beach, MSW, LCSWA
• Beacon Bridge - Wilmington LLC
• Beacon Counseling Center
• Beacon of Hope Counseling, PLLC

• Clinical Cardiac Electrophysiology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Cardiac Electrophysiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.