Samuel H Taylor, MD

Key facts

NPI

1457035958

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

89963 (SC)

Practice address

155 Academy Ave
Greenwood, SC 29646-3869

Phone

(864) 725-4865

NPI assigned

Jun 14, 2023

Sex

Male

Sole proprietor

No

Organizations & group practices 13

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.

• Self Medical Group Surgery Physician · Greenwood, SC · NPI 1982836847
  Medicare reassignment Care Compare group NPD SC
• Self Regional Healthcare Partners Critical Access Hospital · Edgefield, SC · NPI 1922582105
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · SC
• Self Medical Group Diagnostic Radiology Physician · Greenwood, SC · NPI 1659839694
  Care Compare group NPD
• Self Regional Healthcare Family Medicine Physician · Greenwood, SC · NPI 1326067703
  Medicare reassignment SC
• Self Medical Group Rural Health Clinic/Center · Saluda, SC · NPI 1184219214
  Care Compare group
• Self Medical Group Neurological Surgery Physician · Greenwood, SC · NPI 1902277270
  Care Compare group
• Self Regional Healthcare Partners Rural Health Clinic/Center · Johnston, SC · NPI 1205723194
  Care Compare group
• Self Regional Healthcare Partners Rural Health Clinic/Center · Edgefield, SC · NPI 1639653751
  Care Compare group
• Self Regional Healthcare Partners Medicare Defined Swing Bed Hospital Unit · Edgefield, SC · NPI 1780168971
  Care Compare group
• Self Medical Group Emergency Medicine Physician · Greenwood, SC · NPI 1740788165
  NPD
• Self Regional Healthcare Partners Community/Retail Pharmacy · Edgefield, SC · NPI 1073486494
  NPD
• Self Medical Group Gastroenterology Physician · Greenwood, SC · NPI 1841047560
  NPD (past)
• Self Regional Healthcare Family Medicine Physician · Newberry, SC · NPI 1548068398
  NPD (past) FAMILY MEDICINE

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Self Regional Healthcare Pain Medicine (Anesthesiology) Physician · Greenwood, SC · NPI 1013867498
  Care Compare affiliation Hospital
• Self Regional Healthcare General Acute Care Hospital · Greenwood, SC · NPI 1023046612
  Care Compare affiliation Hospital
• Self Regional Healthcare General Acute Care Hospital · Greenwood, SC · NPI 1407887003
  Care Compare affiliation Hospital
• Self Regional Healthcare Pain Medicine (Anesthesiology) Physician · Clinton, SC · NPI 1720938103
  Care Compare affiliation Hospital
• Self Regional Healthcare Partners Critical Access Hospital · Edgefield, SC · NPI 1922582105
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Self Medical Group (393 clinicians)
Self Regional Healthcare Partners (36 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Self Regional Healthcare Hospital · Greenwood, SC · CCN 420071
• Edgefield County Healthcare an Affiliate of Self R Hospital · Edgefield, SC · CCN 421304

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staylor539990@selfregional.direct-ci.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2024.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1457035958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ACADEMY AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463869",
            "telephone_number": "864-725-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ACADEMY AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463869",
            "telephone_number": "864-725-4865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Rockcreek Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296498915",
            "country_code": "US",
            "telephone_number": "864-725-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22580 Highway 76 E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Laurens",
            "state": "SC",
            "postal_code": "293608460",
            "country_code": "US",
            "telephone_number": "864-939-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-725-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAMUEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "89963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

• Gregory Tarasidis, MD
• Jennifer Brooke Tavernier
• Allison Taylor, PHARMD
• Felicia N Taylor
• Harold A Taylor Jr., PH.D.
• John Patrick Lim Tejada, M.D.
• John M Tennis, M.D.
• Kevin Terry
• Sherrita Terry, LPN
• Tashia Palmore Terry, NURSE PRACTITIONER

All providers in Greenwood, SC · Family Medicine Physician in South Carolina