Individual provider Active NPI

Amy Elizabeth Taylor, CRNP

  • Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1235352600
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3393 Issued in SC
Practice address
Beaufort Memorial Express Care & Occupational Health
974 Ribaut Rd
Beaufort, SC 29902-5486
Phone
(843) 524-3344
Fax
(844) 295-9894
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R084245 MD
Nurse Practitioner 363L00000X 3393 SC Primary

Addresses

Primary practice location

Beaufort Memorial Express Care & Occupational Health
974 Ribaut Rd
Beaufort, SC 29902-5486

Mailing address

955 Ribaut Rd
Bmac Credentialing
Beaufort, SC 29902-5441
Phone (843) 522-7843

Other identifiers 2

IdentifierTypeStateIssuer
221407500MedicaidMD
NP5411MedicaidSC

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
I20080303000027 SC Practitioner - Nurse Practitioner 4587748454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, shared by 11 NPIs, 197 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344

300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3393SCMDNurse Practitioner
R084245MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avenir Ventures, L.L.C. CurrentSince Nov 15, 2021 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 1, 2019 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 1, 2019 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hospital Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Avenir Ventures, L.L.C. Nurse Practitioner CurrentSince Nov 15, 2021 Accepting new patients
Georgia Emergency Associates Immediate Care Center Past Accepting new patients
Doctors Care, PA Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Ste A
Baton Rouge, LA 70816

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

2201 Boundary St
Ste 112
Beaufort, SC 29902
Phone (842) 549-5166

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

974 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-3344

955 Ribaut Rd
#C
Beaufort, SC 29902

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

1 Burnt Church Rd
#A
Bluffton, SC 29910
Phone (843) 706-2185

3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: amy.taylor.1@16436.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1235352600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-7843",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH",
            "address_2": "974 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-3344",
            "fax_number": "844-295-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R084245",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221407500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5411",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.