Taylor Blair Currall, PA-C
Individual provider Active NPI Physician Assistant · Shallotte, NC
NPI 1306328588 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1306328588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 363A00000X (NC)
- Practice address
- 204 Smith Ave
Shallotte, NC 28470-4458 - Phone
- (910) 721-4230
- Fax
- (910) 721-4239
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363A00000X | NC | MD | Physician Assistant |
| 3043 | SC | MD | Physician Assistant |
Interoperability endpoints
- tcurrall902476@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3043 | SC | |
| Medical Physician Assistant | 363AM0700X | 3043 | SC | |
| Physician Assistant | 363A00000X | 363A00000X | NC | Yes |
Addresses
Primary practice location
204 Smith Ave
Shallotte, NC 28470-4458
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 721-4230
Other practice location 1
945 82nd Pkwy
Myrtle Beach, SC 29572-4612
Phone (843) 497-5929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3043 | Other | SC | PHYSICIAN ASSISTANT LICENSE |
Other names
- Taylor Blair Lewis
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tcurrall902476@direct.novanthealth.org | Direct |
Other providers in Shallotte, NC
- Garrett Costin
- Kelsey Crist
- Jennifer Lynn Cully
- Sara Culpepper
- Bethany I Cunningham
- Kimberly M Currie
- Madison Cyr
- Christopher Adair Damerel
- Luann Damiani-Grochowski
- Ludmila De Araujo
All providers in Shallotte, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.