Active NPI
Gregory G Taylor, CRNA
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 158154
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424601200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RO96528 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Carolina Regional Anesthesia PLLC | Anesthesiology | Current | 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.
-
- Gastroenterology Physician
- Huntersville, NC
- NPI 1730100801
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Corolla, NC
- NPI 1003069527
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1225404809
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1851548655
-
- Endoscopy Clinic/Center
- Glen Burnie, MD
- NPI 1396798930
-
- Gastroenterology Physician
- Baltimore, MD
- NPI 1700839347
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
- Tarheel Pharmacy, Inc
- Tartan Emergency Physicians, LLC
- Cheryl L. Tate, MSW, LCSW
- Tates Health Care & Behavioral Health Services, PLLC
- Arnette Olivia Tates, DNP, FNP-BC,PMHNP-BC
- Tees Company (TC Inc)
- Daniel S Terryberry, M.D.
- The Brooks Senior Living LLC (Waterbrooke of Elizabeth City)
- The Cpap Store
- The Learning Palace
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.