Individual provider Active NPI

Virginia B Taylor, M.D.

  • Dermatology Physician
  • Greenville, NC
National Provider Identifier
1720288442
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2011-01188 Issued in NC
Practice address
420 Spring Forest Rd
Greenville, NC 27834-7244
Phone
(252) 752-4124
Fax
(252) 758-8954
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2011-01188 NC Primary

Addresses

Primary practice location

420 Spring Forest Rd
Greenville, NC 27834-7244

Mailing address

420 Spring Forest Rd
Greenville, NC 27834-7244
Phone (252) 752-4124

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000431 NC Practitioner - Dermatology 7113199894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Brody School of Medicine at East Carolina University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Dermatology PAGroup PAC ID 2860478542, 20 clinicians

Practice addresses (Care Compare)

142 Avon Ave
Washington, NC 27889-3841
Phone (252) 946-1340

1840 Hwy 24
Newport, NC 28570-9453
Phone (252) 223-0400

420 Spring Forest Rd
Greenville, NC 27834-7244
Phone (252) 752-4124

800 N McPherson Xing
Elizabeth City, NC 27909-9673
Phone (252) 331-1780

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions2200
Removal or shaving of skin growth34
Skin biopsy1233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01188NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Dermatology, P.a. Dermatology Current Accepting new patients
Eastern Dermatology PA Dermatology CurrentSince Sep 1, 2011 Accepting new patients
Eastern Dermatology & Pathology Dermatology CurrentSince Sep 1, 2011 Accepting new patients

Locations

800 N McPherson Xing
Elizabeth Cty, NC 27909
Phone (252) 331-1780

420 Spring Forest Rd
Greenville, NC 27834

1840 Highway 24
Newport, NC 28570
Phone (252) 223-0400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1720288442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SPRING FOREST RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347244",
            "telephone_number": "252-752-4124",
            "fax_number": "252-758-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SPRING FOREST RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347244",
            "telephone_number": "252-752-4124",
            "fax_number": "252-758-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VIRGINIA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2011-01188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.