Individual provider Active NPI

Charlotte Taylor, CPNP/AGNP-C

  • Pediatrics Physician
  • La Follette, TN
National Provider Identifier
1780344101
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0000029433 Issued in TN
Practice address
503 W Central Ave Ste C
La Follette, TN 37766-3486
Phone
(423) 437-8509
Fax
(423) 201-9362
NPI assigned
Dec 27, 2021
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0000029433 TN Primary
Adult Health Nurse Practitioner 363LA2200X 000029433 TN

Addresses

Primary practice location

503 W Central Ave Ste C
La Follette, TN 37766-3486

Mailing address

503 W Central Ave Ste C
La Follette, TN 37766-3486
Phone (423) 437-8509

Other practice location 1

3234 Miller Ave
Crossville, TN 38555-6116
Phone (931) 707-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240806000631 TN Practitioner - Nurse Practitioner 0143767301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

502 W Central Ave
La Follette, TN 37766-3400
Phone (423) 201-1755

6108 Kingston Pike
Knoxville, TN 37919-4019
Phone (423) 458-1426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000029433TNMDPediatrics Physician
000029433TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Jul 6, 2025 Accepting new patients
Kids Care Pediatric and Family Wellness Pediatrics CurrentSince Jul 15, 2024 Accepting new patients
Kids Care Pediatrics CurrentSince Sep 21, 2025 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC PastSince Jul 6, 2025 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

6108 Kingston Pike
Knoxville, TN 37919
Phone (423) 458-1426

502 W Central Ave
La Follette, TN 37766
Phone (423) 201-1755

503 W Central Ave
La Follette, TN 37766
Phone (423) 201-1755

503 W Central Ave
Ste C
La Follette, TN 37766
Phone (423) 437-8509

Organizations & group practices 4

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1780344101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W CENTRAL AVE STE C",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663486",
            "telephone_number": "423-437-8509",
            "fax_number": "423-201-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W CENTRAL AVE STE C",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663486",
            "telephone_number": "423-437-8509",
            "fax_number": "423-201-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3234 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385556116",
            "country_code": "US",
            "telephone_number": "931-707-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "CPNP/AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "0000029433",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "000029433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.