NPIMap

Individual provider Active NPI

Andrew John Taylor, MD

  • Surgery Physician
  • Shelby, NC
National Provider Identifier
1639157290
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200200467 Issued in NC
Practice address
200 W Grover St
Shelby, NC 28150-3708
Phone
(704) 487-8591
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 87269 SC
Surgery Physician 208600000X 200200467 NC Primary

Addresses

Primary practice location

200 W Grover St
Shelby, NC 28150-3708

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

181 Daniel Rd
Forest City, NC 28043-7151
Phone (980) 487-1850

Other practice location 2

1552 N Limestone St Ste C
Gaffney, SC 29340-4750
Phone (864) 487-0155

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address ataylor236320@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, VI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031211000906 NC Practitioner - General Surgery 4981500634 Reassigns benefits to 1 organization
I20220225000431 SC Practitioner - General Surgery 4981500634 Reassigns benefits to 1 organization
I20220629000595 VI Practitioner - General Surgery 4981500634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8760

1552 N Limestone St
Suite C
Gaffney, SC 29340-4750
Phone (864) 487-0155

1917 W Park Drivce
N Wilkesboro, NC 28659-3506
Phone (336) 667-3762

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103
  • Wilkes Regional Medical Center Hospital, North Wilkesboro, NC, CCN 340064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux20
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200467NCMDSurgery Physician
87269SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Surgery CurrentSince Feb 10, 2022 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Aug 19, 2022 Accepting new patients
Spartanburg Medical Center Surgery Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Aug 19, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 26, 2021 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 10, 2022 Accepting new patients
Shelby Surgical Associates, PA Surgery Past Accepting new patients

Locations

1915 W Park Dr
Ste 101
North Wilkesboro, NC 28659
Phone (336) 651-8700

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

1552 N Limestone St
Ste C
Gaffney, SC 29340
Phone (864) 487-0155

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

100 E Wood St
Spartanburg, SC 29303
Phone (864) 560-7070

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: ataylor236320@direct-srhs.et0939.epichosted.com
  • Direct secure messaging: ataylor2791936@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: andrewtaylor@ssa.allscriptsdirect.net

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 8

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1639157290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503708",
            "telephone_number": "704-487-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Daniel Rd",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280437151",
            "country_code": "US",
            "telephone_number": "980-487-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1552 N Limestone St Ste C",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293404750",
            "country_code": "US",
            "telephone_number": "864-487-0155",
            "fax_number": "864-487-0924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "87269",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200200467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "200 W Grover St",
            "city": "Shelby",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281503708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ataylor236320@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ataylor236320@direct-srhs.et0939.epichosted.com",
            "address_1": "1552 N Limestone St Ste C",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293404750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.