Individual provider Active NPI

Taylor Boyd Owens, PA-C

  • Physician Assistant
  • Okatie, SC
National Provider Identifier
1225657950
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3194 Issued in SC
Practice address
40 Okatie Center Blvd S Ste 210
Okatie, SC 29909-7511
Phone
(843) 705-0840
NPI assigned
Apr 13, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3194 SC Primary

Addresses

Primary practice location

40 Okatie Center Blvd S Ste 210
Okatie, SC 29909-7511

Mailing address

242 Ladys Island Dr
Beaufort, SC 29907-1728
Phone (843) 705-0840

Other practice location 1

3901 Main St Ste B
Hilton Head, SC 29926-4613
Phone (843) 689-5259

Other practice location 2

242 Ladys Island Dr
Beaufort, SC 29907-1728
Phone (843) 525-9277

Other names 1

  • Taylor Boyd Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200421001957 SC Practitioner - Physician Assistant 3476983198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Dermatology PCGroup PAC ID 8628961943, 5 clinicians

Practice addresses (Care Compare)

242 Ladys Island Dr
Beaufort, SC 29907-1728
Phone (843) 525-9277

3901 Main St
Suite D
Hilton Head, SC 29926-4613
Phone (843) 689-5259

40 Okatie Ctr Blvd S
Suite 210
Bluffton, SC 29909-7511
Phone (843) 689-5259

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Dermatology PC CurrentSince Mar 17, 2020 Accepting new patients
Heritage Dermatology PC CurrentSince Mar 17, 2020 Accepting new patients

Locations

242 Ladys Island Dr
Beaufort, SC 29907
Phone (843) 352-6363

3901 Main St
Ste D
Hilton Head Island, SC 29926
Phone (843) 242-7223

40 Okatie Center Blvd S
Ste 210
Okatie, SC 29909
Phone (843) 705-0840

Organizations & group practices 3

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1225657950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 LADYS ISLAND DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071728",
            "telephone_number": "843-705-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S STE 210",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-705-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299264613",
            "country_code": "US",
            "telephone_number": "843-689-5259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 Ladys Island Dr",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299071728",
            "country_code": "US",
            "telephone_number": "843-525-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TAYLOR",
        "middle_name": "BOYD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BOYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.