Individual provider Active NPI

Taylor Elizabeth Wilcox, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1336902154
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14819 Issued in NC
Practice address
1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112
Phone
(704) 333-0741
Fax
(704) 333-3356
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14819 NC Primary
Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Other practice location 1

786 Oak Manor Dr SE
Concord, NC 28025-0044
Phone (704) 773-7712

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250105000085 NC Practitioner - Physician Assistant 3072041029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Prep II LLCGroup PAC ID 1052835311, 47 clinicians

Practice addresses (Care Compare)

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-14819NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Prep II LLC CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Prep II LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

Interoperability endpoints

  • Direct secure messaging: twilcox1632983@direct.novanthealth.org

Organizations & group practices 4

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 4

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1336902154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071112",
            "telephone_number": "704-333-0741",
            "fax_number": "704-333-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "786 Oak Manor Dr SE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280250044",
            "country_code": "US",
            "telephone_number": "704-773-7712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14819",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.