Jerry Juergen Taylor, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

9601746 Issued in NC

Practice address

1028 Lee Ann Dr NE
Suite 201
Concord, NC 28025-2911

Phone

(704) 782-1892

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Brody School of Medicine at East Carolina University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Carolinas Emergency Group, PLLCGroup PAC ID 2567486814, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

98.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836
  Medicare reassignment Care Compare group NPD
• Western Carolina Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Albemarle, NC
  • NPI 1134391758
  Medicare reassignment NPD
• Cabarrus Memorial Hospital

  dba NorthEast Medical Center

  • General Acute Care Hospital
  • Concord, NC
  • NPI 1093711525
  NPD (past)

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

• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • General Acute Care Hospital
  • Rutherford College, NC
  • NPI 1306821798
  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • Hematology & Oncology Physician
  • Valdese, NC
  • NPI 1487707964

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba UNC Health Blue Ridge

  • General Acute Care Hospital
  • Morganton, NC
  • NPI 1700860491
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1619925815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LEE ANN DR NE",
            "address_2": "SUITE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-782-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 LEE ANN DR NE",
            "address_2": "SUITE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-782-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JERRY",
        "middle_name": "JUERGEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9601746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891014K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q01746",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1014K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexia Taylor
• Chau Chu Taylor, MD
• Gwendolyn Shaudre Taylor
• Hollis Annette Taylor, DNP, FNP-BC
• Jataime Shadale Taylor, LCSW
• Kathryn Taylor, PT
• Kyndle Brooke Taylor
• Rogelyn Taylor
• Skyler Elle Taylor, LCSW
• Tara G Taylor, MSW, LCSW

• Emergency Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.