Individual provider Active NPI

Gerald Bernard Taylor, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Charleston, SC
National Provider Identifier
1184649261
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
88630 Issued in SC
Practice address
1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835
Phone
(843) 402-5400
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 88630 SC Primary

Addresses

Primary practice location

1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
N01084MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gtaylor136814@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070409000553 NC Practitioner - Obstetrics/Gynecology 5991609604 Reassigns benefits to 1 organization
I20221020000551 SC Practitioner - Obstetrics/Gynecology 5991609604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

2097 Henry Tecklenburg Dr
322W
Charleston, SC 29414-5740
Phone (843) 606-7246

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88630SCMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Specialty Physicians Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
Carolinas Medical Center CurrentSince Feb 4, 2013 Accepting new patients
Carolinas Pathology Group, PA Current Accepting new patients
Roper Saint Francis Physicians Network Obstetrics & Gynecology CurrentSince Sep 26, 2022 Accepting new patients
Roper Saint Francis Physicians Network Urogynecology and Reconstructive Pelvic Surgery CurrentSince Sep 26, 2022 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Carolinas Medical Center CurrentSince Feb 4, 2013 Accepting new patients
Carolinas Medical Center Obstetrics & Gynecology Current Accepting new patients
Southeastern Gynecologic Oncology ,LLC PastSince Jan 1, 1990 Accepting new patients
Eastover Obstetrics and Gynecology Associates Inc Obstetrics & Gynecology Past Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
Eastover Obstetrics and Gynecology Associates Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

1470 Tobias Gadson Blvd
Ste 110
Charleston, SC 29407
Phone (843) 402-1301

2097 Henry Tecklenburg Dr
Ste 322W
Charleston, SC 29414
Phone (843) 402-5035

2097 Henry Tecklenburg Dr
Ste 318E
Charleston, SC 29414

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

3510 N Highway 17
Ste 110
Mt Pleasant, SC 29466
Phone (843) 402-1301

8950 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 402-1766

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

300 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 720-8369

Interoperability endpoints

  • Direct secure messaging: gtaylor136814@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: gtaylor1367380@direct.bsmhealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1184649261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074835",
            "telephone_number": "843-402-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GERALD",
        "middle_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "SC",
            "license": "88630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01084",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gtaylor136814@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "200 Medical Park Dr",
            "address_2": "Ste 250",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.