Individual provider Active NPI

Taylor Marie Crum

  • Nurse Practitioner
  • Lexington, NC
National Provider Identifier
1710629159
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016030 Issued in NC
Practice address
4705 S Highway 150 Ste B&C
Lexington, NC 27295-5677
Phone
(336) 481-1780
Fax
(336) 481-1789
NPI assigned
Apr 7, 2022
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016030 NC Primary
Family Nurse Practitioner 363LF0000X 5016030 NC

Addresses

Primary practice location

4705 S Highway 150 Ste B&C
Lexington, NC 27295-5677

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 481-1780

Other practice location 1

901 E Center St
Lexington, NC 27292-4403
Phone (336) 249-7051

Other practice location 2

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000

Other names 1

  • Taylor Marie Sowers Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420001858 NC Practitioner - Nurse Practitioner 8426445578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

903 Randolph St
Suite 1
Thomasville, NC 27360-6370
Phone (336) 475-7163

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5016030NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 20, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 6, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 6, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 20, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

3515 W Market St
Ste 110
Greensboro, NC 27403
Phone (336) 660-5220

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730

4705 S Highway 150
Ste Bc
Lexington, NC 27295
Phone (336) 481-1780

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

309 Pineywood Rd
Thomasville, NC 27360
Phone (336) 474-8921

903 Randolph St
Thomasville, NC 27360
Phone (336) 475-7163

903 Randolph St
Ste 1
Thomasville, NC 27360
Phone (336) 475-7163

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

114 W 30th St
Ste 800
Winston Salem, NC 27105
Phone (336) 277-2000

185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

725 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-2620

Interoperability endpoints

  • Direct secure messaging: tsowers1109432@direct.novanthealth.org

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1710629159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-481-1780",
            "fax_number": "336-481-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 S HIGHWAY 150 STE B&C",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955677",
            "telephone_number": "336-481-1780",
            "fax_number": "336-481-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E Center St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272924403",
            "country_code": "US",
            "telephone_number": "336-249-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Kimel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUM",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016030",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SOWERS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.