Active NPI
Taylor Bishop, PA-C
- Physician Assistant
- Wake Forest, NC
National Provider Identifier
1336855006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12980
- Practice address
- 620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108 - Phone
- (919) 761-5678
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-12980 | NC | Primary |
Addresses
Primary practice location
620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108
Mailing address
PO Box 96860
Charlotte, NC 28296-6860
Phone (919) 761-5678
Other practice location 1
566 Ruin Creek Rd
Henderson, NC 27536-5932
Phone (252) 438-4143
Other practice location 2
13271 Strickland Rd Ste 120
Raleigh, NC 27613-5228
Phone (919) 741-4677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230317002182 | NC | Practitioner - Physician Assistant | 5294109013 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-12980 | NC | MD | Physician Assistant |
Interoperability endpoints
- taylorbishop@huc.allscriptsdirect.net
Organizations & group practices 2
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": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1336855006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96860",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282966860",
"telephone_number": "919-761-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 DR CALVIN JONES HWY STE 212",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873108",
"telephone_number": "919-761-5678"
}
],
"practiceLocations": [
{
"address_1": "566 Ruin Creek Rd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NC",
"postal_code": "275365932",
"country_code": "US",
"telephone_number": "252-438-4143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13271 Strickland Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276135228",
"country_code": "US",
"telephone_number": "919-741-4677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "TAYLOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-12980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.