Active NPI
Taylor Adams Houston, PA
- Physician Assistant
- Salisbury, NC
National Provider Identifier
1639774839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11150
- Practice address
- 810 Mitchell Ave
Salisbury, NC 28144-6253 - Phone
- (704) 216-5633
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0010-11150 | NC | Primary |
Addresses
Primary practice location
810 Mitchell Ave
Salisbury, NC 28144-6253
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
527 Crocker Rd
Smithfield, NC 27577-9043
Phone (919) 763-7866
Other practice location 2
611 Holly Grove Ct
Concord, NC 28027
Phone (919) 763-7866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- thouston1119169@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1639774839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MITCHELL AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281446253",
"telephone_number": "704-216-5633"
}
],
"practiceLocations": [
{
"address_1": "527 Crocker Rd",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275779043",
"country_code": "US",
"telephone_number": "919-763-7866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 Holly Grove Ct",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "28027",
"country_code": "US",
"telephone_number": "919-763-7866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSTON",
"first_name": "TAYLOR",
"middle_name": "ADAMS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.