Active NPI
Daphanie Taylor, MD
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2018-01294
- Practice address
- 1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990 - Phone
- (980) 442-2000
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018-01294 | NC | Primary |
Addresses
Primary practice location
1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1550 Faulk St
Monroe, NC 28112-5086
Phone (980) 442-0430
Other practice location 2
4525 Cameron Valley Pkwy
Ste 3500
Charlotte, NC 28211-4369
Phone (704) 302-8300
Other practice location 3
945 N 5th St
Albemarle, NC 28001-3417
Phone (980) 323-7790
Other practice location 4
100 Medical Park Dr
Ste 110
Concord, NC 28025-2948
Phone (704) 403-1370
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Texas Medical Branch at Galveston, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-5250
2602 Saint Michael Dr
Suite 201B
Texarkana, TX 75503-2320
Phone (903) 614-5530
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Elite Home Health
- Christus St Michael Health System
- Christus Mother Frances Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-01294 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
Locations
2604 Saint Michael Dr
Ste 238
Texarkana, TX 75503
Phone (903) 614-5480
2602 Saint Michael Dr
Ste 202
Texarkana, TX 75503
Phone (903) 614-5260
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- dtaylor278707@christushealth.direct-ci.net
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Home Health Agency
- Nashville, AR
- NPI 1881892404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1922480177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MOREHEAD MEDICAL DR",
"address_2": "STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042990",
"telephone_number": "980-442-2000"
}
],
"practiceLocations": [
{
"address_1": "1550 Faulk St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281125086",
"country_code": "US",
"telephone_number": "980-442-0430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Ste 3500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114369",
"country_code": "US",
"telephone_number": "704-302-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "945 N 5th St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013417",
"country_code": "US",
"telephone_number": "980-323-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Park Dr",
"address_2": "STE 110",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252948",
"country_code": "US",
"telephone_number": "704-403-1370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "DAPHANIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2018-01294",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1021 Morehead Medical Dr",
"address_2": "Ste A",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042990",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.