Individual provider Active NPI

Monica Taylor, MD

  • Pediatrics Physician
  • Ridgeland, SC
National Provider Identifier
1174569818
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35083285 Issued in OH
Practice address
721 Okatie Highway
Ridgeland, SC 29936
Phone
(843) 784-2181
Fax
(843) 784-6112
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35083285 OH Primary
Pediatrics Physician 208000000X 30220 SC

Addresses

Primary practice location

721 Okatie Highway
Ridgeland, SC 29936

Mailing address

4921 Bluffton Pkwy
Apt. 1612
Bluffton, SC 29910-4610
Phone (843) 784-2181

Other identifiers 1

IdentifierTypeStateIssuer
2430873MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20071108000693 SC Practitioner - Pediatric Medicine 5193759579 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083285OHMDPediatrics Physician
30220SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Sep 26, 2016 Accepting new patients

Locations

721 Okatie Hwy
Okatie, SC 29909

721 N Okatie Hwy
#170
Ridgeland, SC 29936

721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492

Organizations & group practices 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1174569818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BLUFFTON PKWY",
            "address_2": "APT. 1612",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104610",
            "telephone_number": "843-784-2181",
            "fax_number": "843-784-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OKATIE HIGHWAY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-784-2181",
            "fax_number": "843-784-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35083285",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "30220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430873",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

Verify at the official NPI Registry.