Active NPI
Kaitlyn Nicole Taylor, PA-C
- Physician Assistant
- Leland, NC
National Provider Identifier
1700631751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-15865
- Practice address
- 1168 E Cutlar Xing Ste 201
Leland, NC 28451-6485 - Phone
- (910) 332-3800
- Fax
- (910) 251-0421
- NPI assigned
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C5-0012064 | DE | |
| Physician Assistant | 363A00000X | 0010-15865 | NC | Primary |
Addresses
Primary practice location
1168 E Cutlar Xing Ste 201
Leland, NC 28451-6485
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255
Other practice location 1
1082 Old Churchmans Rd Ste 100
Newark, DE 19713-2143
Phone (302) 655-9494
Other practice location 2
1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413
Phone (302) 655-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5160 Ocean Hwy W
Shallotte, NC 28470-4012
Phone (910) 332-3800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-15865 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Multi-Specialty | Current | Accepting new patients |
Locations
1168 E Cutlar Crossing
Leland, NC 28451
Phone (814) 836-8113
1168 E Cutlar Crossing
Ste 201
Leland, NC 28451
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
5160 Ocean Hwy W
Shallotte, NC 28470
Phone (910) 332-3828
Interoperability endpoints
- ktaylor@direct.delortho.com
- kaitlyn.taylor.1@847.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1700631751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "919-220-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1168 E CUTLAR XING STE 201",
"city": "LELAND",
"state": "NC",
"postal_code": "284516485",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
}
],
"practiceLocations": [
{
"address_1": "1082 Old Churchmans Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197132143",
"country_code": "US",
"telephone_number": "302-655-9494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1941 Limestone Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198085413",
"country_code": "US",
"telephone_number": "302-655-9494",
"fax_number": "302-691-1478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "KAITLYN",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-23",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DE",
"license": "C5-0012064",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-15865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.