Individual provider Active NPI

Julie A Taylor, MD

  • Internal Medicine Physician
  • Lugoff, SC
National Provider Identifier
1316999196
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18239 Issued in SC
Practice address
710 Dewitt Dr
Lugoff, SC 29078-9069
Phone
(803) 438-7566
Fax
(803) 438-4371
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18239 SC Primary

Addresses

Primary practice location

710 Dewitt Dr
Lugoff, SC 29078-9069

Mailing address

PO Box 1259
Sentinel Health Partners PA
Camden, SC 29021-1259
Phone (803) 713-8350

Other identifiers 3

IdentifierTypeStateIssuer
B6606OtherMEDCOST PIN
110234248OtherSCRAILROAD MEDICARE PIN
182395MedicaidSC

Other names 1

  • Julie Ann Dunlap Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100324000420 SC Practitioner - Internal Medicine 3971638339
I20181120002715 NC Practitioner - Internal Medicine 3971638339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7298

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18239SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Oct 1, 2018 Accepting new patients
Hugh Chatham Memorial Hospital, Inc Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Internal Medicine Current Accepting new patients

Locations

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

500 Chatham Medical Park
Elkin, NC 28621
Phone (336) 835-3136

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

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.

Hospital & facility affiliations 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1316999196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "address_2": "SENTINEL HEALTH PARTNERS PA",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290211259",
            "telephone_number": "803-713-8350",
            "fax_number": "803-713-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DEWITT DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789069",
            "telephone_number": "803-438-7566",
            "fax_number": "803-438-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PIN",
            "identifier": "B6606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "110234248",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182395",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DUNLAP",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lugoff, SC

Sources for this page

Verify at the official NPI Registry.