Active NPI
Leslie Carol Taylor, PA-C
- Physician Assistant
- Harrisburg, NC
National Provider Identifier
1376051615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-07866
- Practice address
- 9550 Rocky River Rd Ste 100
Harrisburg, NC 28075 - Phone
- (704) 316-3612
- Fax
- (704) 316-3613
- NPI assigned
- Jan 22, 2018
- Last updated
- May 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-07866 | NC | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
9550 Rocky River Rd Ste 100
Harrisburg, NC 28075
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TBD | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-07866 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1376051615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 ROCKY RIVER RD STE 100",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "28075",
"telephone_number": "704-316-3612",
"fax_number": "704-316-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LESLIE",
"middle_name": "CAROL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07866",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TBD",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, NC
- Raymond Tanwani Tah, FNP
- Tajax Compassionate Care Network (Care At Home Solutions)
- Tanderson Health and Wellness Solutions
- Taylor Randich, OD, PLLC
- Kristin Taylor, P.T.
- The Charlotte-Mecklenburg Hospital Authority (Atrium Health Behavioral Health Psychiatry & Counseling)
- The Charlotte-Mecklenburg Hospital Authority (Atrium Health Levine Children's Rocky River Pediatrics)
- The Charlotte-Mecklenburg Hospital Authority (Atrium Health Primary Care Ardsley Internal Medicine)
- Thomas Hand and Rehabilitation Specialists LP
- Heather Ross Thomas, DNP, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.