Individual provider Active NPI

Taylor Benoit Mulkey, M.D.

  • MOHS-Micrographic Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1760679203
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
30772 Issued in SC
Practice address
612 Seacoast Pkwy
Mt Pleasant, SC 29464-8247
Phone
(843) 881-4440
Fax
(843) 884-8540
NPI assigned
Sep 28, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 30772 SC
MOHS-Micrographic Surgery Physician 207ND0101X 30772 SC Primary

Addresses

Primary practice location

612 Seacoast Pkwy
Mt Pleasant, SC 29464-8247

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone (843) 881-4440

Other practice location 2

602 N Main St
Summerville, SC 29483-6627
Phone (843) 881-4440

Other practice location 3

1814 Crowne Commons Way Ste E7
Johns Island, SC 29455-4932
Phone (843) 881-4440

Other names 1

  • Dr. Mary Taylor Benoit Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, FL, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110603000528 KY Practitioner - Dermatology 0941487771 Reassigns benefits to 1 organization
I20180906003448 TN Practitioner - Dermatology 0941487771 Reassigns benefits to 1 organization
I20200506002554 FL Practitioner - Dermatology 0941487771 Reassigns benefits to 1 organization
I20210316002275 SC Practitioner - Dermatology 0941487771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

612 Seacoast Pkwy
Mt Pleasant, SC 29464-8247
Phone (843) 881-4440

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision140
Removal of skin lesions217
Removal of skin cancer723
Removal or shaving of skin growth1-10
Skin biopsy101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ren Dermatology PLLC Dermatology CurrentSince Jun 12, 2018 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jun 7, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jun 7, 2024 Accepting new patients
Dermatology Associates of Tallahassee PA Dermatology CurrentSince Jun 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 1, 2016 Accepting new patients
University of Louisville Physicians, Inc. Dermatology CurrentSince Mar 1, 2016 Accepting new patients
Dermatology Associates of Tallahassee, PA Dermatology CurrentSince Jun 1, 2020 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

110 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-1118

1707 Riggins Rd
Tallahassee, FL 32308
Phone (850) 205-6232

7752 Solution Ctr
Chicago, IL 60677

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1814 Crowne Commons Way
Ste E7
Johns Island, SC 29455
Phone (843) 881-4440

612 Seacoast Pkwy
Mt Pleasant, SC 29464
Phone (843) 881-4440

612 Seacoast Pkwy
#201
Mt Pleasant, SC 29464
Phone (843) 881-4440

14490 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 545-8850

602 N Main St
Summerville, SC 29483
Phone (843) 876-2121

1195 Old Hickory Blvd
Ste 200
Brentwood, TN 37027
Phone (615) 370-7905

155 Covey Dr
Ste 200
Franklin, TN 37067
Phone (615) 835-3220

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • FHIR API: https://rendermatology.mmi.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: tmulkey@directaddress.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1760679203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SEACOAST PKWY",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648247",
            "telephone_number": "843-881-4440",
            "fax_number": "843-884-8540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14490 Ocean Hwy",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295854821",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-314-0785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294836627",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-225-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Crowne Commons Way Ste E7",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294554932",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-737-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULKEY",
        "first_name": "TAYLOR",
        "middle_name": "BENOIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "30772",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "30772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "612 Seacoast Pkwy",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294648247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BENOIT",
            "middle_name": "TAYLOR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.