Individual provider Active NPI

Taylor Evans Branham, PA-C

  • Medical Physician Assistant
  • Bethune, SC
National Provider Identifier
1508513730
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4338 Issued in SC
Practice address
103 Main St N
Bethune, SC 29009-9750
Phone
(843) 334-7145
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4338 SC Primary

Addresses

Primary practice location

103 Main St N
Bethune, SC 29009-9750

Mailing address

103 Main St N
Bethune, SC 29009-9750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308001324 SC Practitioner - Physician Assistant 5890131171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandhills Medical Foundation, Inc. 26 clinicians

Practice addresses (Care Compare)

103 Main St N
BLDG N
Bethune, SC 29009-9750
Phone (843) 334-7145

2611 Liberty Hill Rd
Camden, SC 29020-1871
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718-8701
Phone (843) 658-3005

645 S 7TH St
MC Bee, SC 29101-7101
Phone (803) 475-4701

PO Box
Suite 366
MC Bee, SC 29101

PO Box
Suite 366
MC Bee, SC 29101-0366

Hospital & facility affiliations

  • Kershawhealth Hospital, Camden, SC, CCN 420048
  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4338SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Medical Foundation, Inc. CurrentSince Aug 22, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Aug 22, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Aug 22, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Aug 22, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation Past Accepting new patients
Gross Family Practice LLC PastSince Jun 1, 2022 Accepting new patients
Gross Family Practice LLC PastSince Jun 1, 2022 Accepting new patients

Locations

103 Main St N
Bldg N
Bethune, SC 29009
Phone (843) 334-7145

103 Main St N
Bethune, SC 29009
Phone (843) 334-6551

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718
Phone (843) 658-3005

205 W Marion St
Kershaw, SC 29067
Phone (803) 475-4701

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 408-3262

645 S Seventh St
Mc Bee, SC 29101
Phone (803) 475-4701

727 S Seventh St
Mc Bee, SC 29101
Phone (843) 335-8291

126 N Pearl St
Pageland, SC 29728
Phone (843) 675-5004

30 Cuttino Rd
Sumter, SC 29150
Phone (803) 778-2442

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJDBA

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.

View all 13

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1508513730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAIN ST N",
            "city": "BETHUNE",
            "state": "SC",
            "postal_code": "290099750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN ST N",
            "city": "BETHUNE",
            "state": "SC",
            "postal_code": "290099750",
            "telephone_number": "843-334-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "TAYLOR",
        "middle_name": "EVANS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "4338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethune, SC

Sources for this page

Verify at the official NPI Registry.