Individual provider Active NPI

Gregory G Taylor, CRNA

  • Certified Registered Nurse Anesthetist
  • Elizabeth City, NC
National Provider Identifier
1497793269
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
158154 Issued in NC
Practice address
3810 Waterside Dr
#104
Elizabeth City, NC 27909-9738
Phone
(301) 538-5352
Fax
(252) 621-1003
NPI assigned
Jun 3, 2006
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RO96528 MD
Certified Registered Nurse Anesthetist 367500000X 158154 NC Primary

Addresses

Primary practice location

3810 Waterside Dr
#104
Elizabeth City, NC 27909-9738

Mailing address

3810 Waterside Dr
#104
Elizabeth City, NC 27909-9738
Phone (301) 538-5352

Other identifiers 1

IdentifierTypeStateIssuer
424601200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131220000241 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850450263 Reassigns benefits to 4 organizations
I20160929001390 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850450263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians

Practice addresses (Care Compare)

13808 Professional Ctr Dr
Huntersville, NC 28078-7948
Phone (704) 377-4009

945 82ND Pkwy
Suite 2
Myrtle Beach, SC 29572-4612
Phone (843) 839-0823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RO96528MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 8, 2019 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Dec 1, 2013 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Feb 11, 2025 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Feb 11, 2025 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2013 Accepting new patients
Endocentre at Quarterfield Station Past Accepting new patients
Woodholme Gastroenterology Assoc PA Past Accepting new patients

Locations

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

945 82nd Pkwy
Ste 2
Myrtle Beach, SC 29572
Phone (843) 839-0823

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1497793269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 WATERSIDE DR",
            "address_2": "#104",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099738",
            "telephone_number": "301-538-5352",
            "fax_number": "252-621-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 WATERSIDE DR",
            "address_2": "#104",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099738",
            "telephone_number": "301-538-5352",
            "fax_number": "252-621-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GREGORY",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "RO96528",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "158154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424601200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.