Individual provider Active NPI

Taylor Elizabeth Mucci

  • Physician Assistant
  • Gastonia, NC
National Provider Identifier
1326774415
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028604 Issued in NY
Practice address
1908 E Franklin Blvd Ste 100
Gastonia, NC 28054-4742
Phone
(704) 271-1215
Fax
(704) 271-9875
NPI assigned
Jul 29, 2022
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 028604 NY Primary

Addresses

Primary practice location

1908 E Franklin Blvd Ste 100
Gastonia, NC 28054-4742

Mailing address

216 Widgedon LNDG
Hilton, NY 14468-8955

Other practice location 1

1025 Peerless Xing NW
Cleveland, TN 37312-3764
Phone (423) 476-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221018002791 NY Practitioner - Physician Assistant 8628444544 Reassigns benefits to 1 organization
I20231012000174 NC Practitioner - Physician Assistant 8628444544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578

14221 Boren St
Huntersville, NC 28078-6507
Phone (980) 306-5911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028604NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Multi-Specialty CurrentSince Aug 29, 2022 Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1326774415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WIDGEDON LNDG",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144688955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 E FRANKLIN BLVD STE 100",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544742",
            "telephone_number": "704-271-1215",
            "fax_number": "704-271-9875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Peerless Xing NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373123764",
            "country_code": "US",
            "telephone_number": "423-476-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCCI",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.