NPIMap

Individual provider Active NPI

Vanessa Marie Taylor, PA-C

  • Physician Assistant
  • Lexington, NC
National Provider Identifier
1376847798
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06541 Issued in NC
Practice address
250 Hospital Dr
Lexington, NC 27292-6792
Phone
(336) 716-2255
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110006173 VA
Physician Assistant 363A00000X 0010-06541 NC Primary

Addresses

Primary practice location

250 Hospital Dr
Lexington, NC 27292-6792

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other practice location 1

9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 827-8000

Other practice location 2

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-4104

Other practice location 3

1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-4104

Other practice location 4

1200 E Marshall St
Richmond, VA 23298
Phone (804) 828-4104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170412001362 NC Practitioner - Physician Assistant 0446498570 Reassigns benefits to 4 organizations
I20180829002338 VA Practitioner - Physician Assistant 0446498570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, 78 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3237

1010 College St Diagnostic Radiology
Oxford, NC 27565-2507
Phone (919) 690-3000

2116 W Laburnum Ave
Richmond, VA 23227-4359
Phone (804) 254-3500

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Granville Health Systems Hospital, Oxford, NC, CCN 340127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014503NYMDClinical Psychologist
0010-06541NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital - Durham Inc. CurrentSince Nov 5, 2017 Accepting new patients
Select Specialty Hospital - Greensboro Inc Current Accepting new patients
Optimed Hospitalists CurrentSince Sep 17, 2019 Accepting new patients
Granville Health System CurrentSince Jul 27, 2024 Accepting new patients
St Catherine of Siena Medical Center Past Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

1200 N Elm St
Fl 5
Greensboro, NC 27401
Phone (336) 832-5700

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

Organizations & group practices 16

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.

View all 16

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1376847798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926792",
            "telephone_number": "336-716-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9109 Stony Point Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351979",
            "country_code": "US",
            "telephone_number": "804-827-8000",
            "fax_number": "804-827-0285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-828-4104",
            "fax_number": "804-828-2462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-4104",
            "fax_number": "804-828-0854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-4104",
            "fax_number": "804-828-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110006173",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.