Joan Wynn Taylor, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SC12593 Issued in SC

Practice address

102A S Merriman Rd
Georgetown, SC 29440

Phone

(843) 833-8113

Fax

(843) 833-8108

NPI assigned

Nov 21, 2005

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Female

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 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

University of North Carolina at Chapel Hill School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St James Health and Wellness IncGroup PAC ID 1658280334, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
• Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St James Health and Wellness Inc

  dba St James Santee Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1366568594
  Medicare reassignment Care Compare group NPD
• St James Health and Wellness Inc

  dba St James Santee Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • McClellanville, SC
  • NPI 1588618441
  NPD
• St. James Health and Wellness Inc.

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1962250258
  NPD

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

• Georgetown Memorial Hospital

  dba Tidelands Health Skilled Care

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056

  Hospital

  Care Compare affiliation
• Georgetown Memorial Hospital

  dba Tidelands Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021
  Care Compare affiliation
• Waccamaw Community Hospital

  dba Tidelands Waccamaw Community Hospital

  • General Acute Care Hospital
  • Murrells Inlet, SC
  • NPI 1972503910
  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1669455077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294420557",
            "telephone_number": "843-833-8113",
            "fax_number": "843-833-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102A S MERRIMAN RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "29440",
            "telephone_number": "843-833-8113",
            "fax_number": "843-833-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOAN",
        "middle_name": "WYNN",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "SC12593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4112",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunflower Day LLC (Sunflower Day)
• Surgical Precision Eye LLC
• Tammy T. Tully OD PA
• Megan Tanner, LMSW
• Angela Taylor, FNP-BC
• Marie L Taylor, FNP
• Janet Adair Teel, R.D. AND C.D.E.
• The Counseling Center of Georgetown
• The Phoenix Group
• Therapeutic Pathways, Inc.

• Family Medicine Physician in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.