Cullen Andrew Taylor, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

200300892 Issued in NC

Practice address

3333 Silas Creek Pkwy
Winston-Salem, NC 27103-3013

Phone

(336) 718-5856

Fax

(336) 718-9259

NPI assigned

Feb 27, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in NC

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

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 and National Provider Directory roles.

• Pathologists Diagnostic Laboratory PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Winston Salem, NC
  • NPI 1003883877
  NPD Authorized official
• Pathologists Diagnostic Laboratory PA

  • Clinical Medical Laboratory
  • Winston Salem, NC
  • NPI 1437424975
  NPD

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1700852167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30369",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271300369",
            "telephone_number": "336-718-5856",
            "fax_number": "336-718-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-5856",
            "fax_number": "336-718-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CULLEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "200300892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "136UA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136UA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Taylor, L.AC., DIPL. A.
• Ashley Michelle Taylor, LPCA
• Bradley Steven Taylor, PA-C
• Briona S Taylor
• Cindy Young Taylor, LCSW
• Emily Kathryn Taylor, DPT
• Evelyn Rose Taylor, MD
• Henry Joe Taylor IV, DPM
• Irma M Taylor
• Karen Griffin Taylor, NP

• Anatomic Pathology & Clinical Pathology Physician in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.