Michelle Lee Taylor, AGNP-C

Key facts

NPI

1285162008

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

201342 (NC)

Practice address

2131 S 17TH St
Wilmington, NC 28401-7407

Phone

(910) 667-3000

Fax

(910) 667-9758

NPI assigned

May 24, 2017

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Novant Health Medical Group Coastal Region, LLC Cardiovascular Disease Physician · Wilmington, NC · NPI 1649865791
  Medicare reassignment NPD NC
• NMG Health Services LLC Maternal & Fetal Medicine Physician · Bolivia, NC · NPI 1558242495
  NPD
• Novant Health Medical Group Coastal Region, LLC Hematology & Oncology Physician · Wilmington, NC · NPI 1699355206
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mtoler346794@direct.unc.nchie.net

Specialties & licenses

Addresses

Other names

• Michelle Lee Toler Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 17, 2022.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1285162008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-667-3000",
            "fax_number": "910-667-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-667-3000",
            "fax_number": "910-667-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704A Wayne Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275342240",
            "country_code": "US",
            "telephone_number": "919-580-1026 x5",
            "fax_number": "919-580-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Doctors Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011584",
            "country_code": "US",
            "telephone_number": "252-522-4446",
            "fax_number": "252-208-1647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "201342",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtoler346794@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "208 Cox Blvd Ste 201",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtoler346794@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "701 Doctors Dr Ste A",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TOLER",
            "middle_name": "LEE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

• Loreley Joy Taylor, LCSW
• Mackenzie Taylor
• Margaret Taylor, RBT
• Mary Katherine Taylor, ARNP
• Mason Taylor, OD
• Pamela L Taylor, DO
• Sherri V Taylor, MD
• Valarie Taylor
• William M Taylor, MD
• Sheryl Frances Teachenor, PMHNP-BC, DNP

All providers in Wilmington, NC · Nurse Practitioner in North Carolina