NPIMap

Individual provider Active NPI

Taylor Anderson McKeowen, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1669995825
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21165 Issued in SC
Practice address
203 Mills Ave
Greenville, SC 29605-4019
Phone
(864) 271-1844
NPI assigned
Jul 19, 2017
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21165 SC Primary

Addresses

Primary practice location

203 Mills Ave
Greenville, SC 29605-4019

Mailing address

1609 Fairview Rd
Fountain Inn, SC 29644-9715
Phone (803) 308-7108

Other practice location 1

75 E McBee Ave
Greenville, SC 29601-2737
Phone (864) 241-5199

Other identifiers 1

IdentifierTypeStateIssuer
NP4636MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918002956 SC Practitioner - Nurse Practitioner 0547534372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Nephrology PAGroup PAC ID 2961467733, 37 clinicians

Practice addresses (Care Compare)

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2165SCMDOral and Maxillofacial Pathology Dentist
21165SCMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Nephrology PA CurrentSince Sep 15, 2022 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Carolina ASC LLC PastSince May 1, 2024 Accepting new patients

Locations

455 E Whitner St
Anderson, SC 29624
Phone (864) 759-0314

803 N Fant St
Ste 2A
Anderson, SC 29621
Phone (864) 225-7401

400 Plaza Cir
Ste H
Clinton, SC 29325
Phone (864) 833-4166

121 Commerce Blvd
Ste B
Easley, SC 29642
Phone (864) 859-3038

406 Tiffany Park
#B
Gaffney, SC 29341
Phone (864) 663-2736

110 Chalmers Rd
Unit A
Greenville, SC 29605
Phone (864) 977-8200

110 Chalmers Rd
Unit B
Greenville, SC 29605

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

108 W Church St
Greer, SC 29650
Phone (864) 469-7733

45 Aaron Tippin Dr
Greer, SC 29650
Phone (864) 848-5555

110B Hospital Dr
Simpsonville, SC 29681
Phone (864) 382-6940

1410 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 574-0017

Interoperability endpoints

  • Direct secure messaging: tmckeowen617738@direct.ghs.myhfn.org

Organizations & group practices 3

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.

Hospital & facility affiliations 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1669995825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 FAIRVIEW RD",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449715",
            "telephone_number": "803-308-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E McBee Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296012737",
            "country_code": "US",
            "telephone_number": "864-241-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEOWEN",
        "first_name": "TAYLOR",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4636",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.