NPIMap

Individual provider Active NPI

Taylor Ann Green, PA STUDENT

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1689314940
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2618 Issued in WV
Practice address
49 Arcadia LN
Charleston, WV 25312-5733
Phone
(304) 389-6797
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2618 WV Primary

Addresses

Primary practice location

49 Arcadia LN
Charleston, WV 25312-5733

Mailing address

49 Arcadia LN
Charleston, WV 25312-5733
Phone (304) 389-6797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240118002262 WV Practitioner - Physician Assistant 7719339431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

400 Fairview Heighs Rd
Summersville, WV 26651-9308

401 Division St
South Charleston, WV 25309-1455

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600

4607 Maccorkle Ave SW
Suite 401 TMH Summit Ortho
South Charleston, WV 25309-1364
Phone (304) 414-2120

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Boone Memorial Hospital Hospital, Madison, WV, CCN 511313
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2618WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jan 2, 2024 Accepting new patients
THS Physician Partners Inc CurrentSince Mar 3, 2026 Accepting new patients
Wvu Med Corp Cheat Lake Physicians CurrentSince Jan 2, 2024 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

424 Division St
South Charleston, WV 25309
Phone (304) 766-3798

424 Division St
Fl 2
South Charleston, WV 25309

4607 Maccorkle Ave SW
Ste 401
South Charleston, WV 25309
Phone (304) 414-2120

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1689314940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ARCADIA LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253125733",
            "telephone_number": "304-389-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ARCADIA LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253125733",
            "telephone_number": "304-389-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "PA STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.