Individual provider Active NPI

Taylor Clemmons Plumb, DO

  • Family Medicine Physician
  • Camp Lejeune, NC
National Provider Identifier
1912640012
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102208310 Issued in VA
Practice address
212 Wallace Creek Rd
Camp Lejeune, NC 28457
Phone
(910) 449-8878
NPI assigned
Apr 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102208310 VA Primary

Addresses

Primary practice location

212 Wallace Creek Rd
Camp Lejeune, NC 28457

Mailing address

212 Wallace Creek Rd
Camp Lejeune, NC 28547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240223001594 VA Order and Referring Only - Family PracticePractitioner - Family Practice 4385088871

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1912640012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WALLACE CREEK RD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WALLACE CREEK RD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28457",
            "telephone_number": "910-449-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "TAYLOR",
        "middle_name": "CLEMMONS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-16",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102208310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

Verify at the official NPI Registry.