NPIMap

Individual provider Active NPI

Taylor Haines

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1467089474
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-01180 Issued in NC
Practice address
150 Professional Park Dr Ste 400
Mooresville, NC 28117-5604
Phone
(704) 801-7350
Fax
(704) 801-7783
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 83252 SC
General Practice Physician 208D00000X 83252 SC
Family Medicine Physician 207Q00000X 2023-01180 NC Primary

Addresses

Primary practice location

150 Professional Park Dr Ste 400
Mooresville, NC 28117-5604

Mailing address

150 Professional Park Dr Ste 400
Mooresville, NC 28117-5604
Phone (704) 801-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20220808001958 SC Practitioner - Family Practice 4082032685 Reassigns benefits to 3 organizations
I20230920004337 NC Practitioner - Family Practice 4082032685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

150 Professional Park Dr
Suite 400
Mooresville, NC 28117-5604
Phone (704) 801-7350

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
83252SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Atrium Health North Market Network LLC Family Medicine CurrentSince Aug 14, 2023 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients

Locations

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

150 Professional Park Dr
Ste 400
Mooresville, NC 28117
Phone (704) 801-7350

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

Organizations & group practices 7

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 7

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1467089474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL PARK DR STE 400",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175604",
            "telephone_number": "704-801-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL PARK DR STE 400",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175604",
            "telephone_number": "704-801-7350",
            "fax_number": "704-801-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-09-08",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83252",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "83252",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-01180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.