Amanda Taylor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08338 Issued in NC

Practice address

104 Tilghman Dr
Dunn, NC 28334-5533

Phone

(910) 892-1333

Fax

(910) 892-2929

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Woolston Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19232/brand/1/csg/1/fhir/r4
• Direct secure messaging: amanda-taylor1@bensonmedical.e-mdsdirect.com

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.

• Abc Pediatrics of Dunn, PA

  • Specialist
  • Dunn, NC
  • NPI 1417061011
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1861975484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345533",
            "telephone_number": "910-892-1333",
            "fax_number": "910-892-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345533",
            "telephone_number": "910-892-1333",
            "fax_number": "910-892-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Nc Highway 242 N",
            "address_purpose": "LOCATION",
            "city": "Benson",
            "state": "NC",
            "postal_code": "275047844",
            "country_code": "US",
            "telephone_number": "919-894-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0010-08338",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda-taylor1@bensonmedical.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "3333 Nc Highway 242 N",
            "city": "Benson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275047844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WOOLSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Jo Swift, OTD, OTR/L
• Janie J Switzer, M.D.
• Zain Syed
• Zoe Smith Tait, PA-C
• Tapestry Counseling and Coaching, LLC
• Gary Arthur Taylor, PH.D.
• Yiannis Panayiotis Teas
• Constance Jane Teasdale, COTA
• Richard William Temblador, PHYSICIAN ASSISTANT
• Meena Thapa Magar

• Physician Assistant in Dunn, NC
• Providers in Dunn, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.