Individual provider Active NPI

Cheri Taylor, AGNP-C

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1255794855
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24468 Issued in SC
Practice address
1320 Main St Ste 300
Columbia, SC 29201-3266
Phone
(866) 949-0108
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5008482 NC
Nurse Practitioner 363L00000X 24468 SC Primary

Addresses

Primary practice location

1320 Main St Ste 300
Columbia, SC 29201-3266

Mailing address

50 S B B King Blvd
Memphis, TN 38103-2626
Phone (888) 608-0499

Other practice location 1

615 Saint George Square Ct Ste 300
Winston Salem, NC 27103-1368
Phone (336) 793-8125

Other practice location 2

802 E Center St
Lexington, NC 27292-4402
Phone (336) 746-3500

Other practice location 3

802 E Center St
Lexington, NC 27292-4402
Phone (336) 746-3500

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
I20210217000246 SC Practitioner - Nurse Practitioner 0840578068 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008482NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince Jun 13, 2023 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jun 13, 2023 Accepting new patients
Carelon Medical Partners, PC Nurse Practitioner CurrentSince Feb 11, 2021 Accepting new patients
Carolina Seniorcare Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

Interoperability endpoints

  • Direct secure messaging: ms_ctayl203@landmarkhealth-direct.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1255794855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "888-608-0499",
            "fax_number": "888-494-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAIN ST STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013266",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Saint George Square Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031368",
            "country_code": "US",
            "telephone_number": "336-793-8125",
            "fax_number": "855-737-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 E Center St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272924402",
            "country_code": "US",
            "telephone_number": "336-746-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 E Center St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272924402",
            "country_code": "US",
            "telephone_number": "336-746-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHERI",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5008482",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.