Active NPI
Shawn D Taylor, PA-C
- Physician Assistant
- Cherokee, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104301
- Practice address
- 1 Hospital Rd
Cherokee Indian Hospital
Cherokee, NC 28719 - Phone
- (828) 497-9163
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9104301 | FL | |
| Physician Assistant | 363A00000X | PA9104301 | FL | Primary |
Addresses
Primary practice location
1 Hospital Rd
Cherokee Indian Hospital
Cherokee, NC 28719
Mailing address
906 Palm Blvd S
Niceville, FL 32578-2603
Phone (850) 517-9851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 As Ferdon Blvd
Crestview, FL 32536-6459
2400 S Ferdon Blvd
Suite a
Crestview, FL 32536-6459
Phone (850) 398-8668
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104301 | FL | MD | Physician Assistant |
| PA 9104301 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Cep America LLC | Current | Accepting new patients | |
| Niceville Urgent Care LLC | Current | Accepting new patients | |
| Oakfield Drive Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Sterling Emergency Services of the Southeast Inc | Medical | Past | Accepting new patients |
| Terra Ceia Emergency Physicians LLC | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
906 Palm Blvd S
Niceville, FL 32578
Phone (850) 517-9851
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
Interoperability endpoints
- https://api.platform.athenahealth.com/7208/brand/2/csg/1/fhir/r4
Organizations & group practices 15
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.
-
- Urgent Care Clinic/Center
- Crestview, FL
- NPI 1144458647
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Emergency Medicine Physician
- Melbourne, FL
- NPI 1710210695
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1912694902
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Destin, FL
- NPI 1659720654
Physician Assistant
-
- Urgent Care Clinic/Center
- Niceville, FL
- NPI 1881015477
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cherokee, NC
- NPI 1588840318
-
- General Acute Care Hospital
- Cherokee, NC
- NPI 1770662348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1881783728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 PALM BLVD S",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782603",
"telephone_number": "850-517-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL RD",
"address_2": "CHEROKEE INDIAN HOSPITAL",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-9163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHAWN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9104301",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherokee, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.