Individual provider Active NPI

Taylor Michelle Szucs, PA-C

  • Physician Assistant
  • Shelby, NC
National Provider Identifier
1922698877
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11963 Issued in NC
Practice address
615 S Dekalb St
Shelby, NC 28150-6184
Phone
(704) 480-1882
Fax
(704) 480-1832
NPI assigned
Jan 25, 2021
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11963 NC Primary

Addresses

Primary practice location

615 S Dekalb St
Shelby, NC 28150-6184

Mailing address

615 S Dekalb St
Shelby, NC 28150-6184
Phone (704) 480-1882

Other practice location 1

1530 Union Rd Ste A
Gastonia, NC 28054-2201
Phone (704) 867-6188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220303000734 NC Practitioner - Physician Assistant 8527452747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothills Consulting Associates LLCGroup PAC ID 4688765589, 4 clinicians

Practice addresses (Care Compare)

1610 E Marion St
Suite 250
Shelby, NC 28150-4982
Phone (704) 480-1882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: taylor.szucs@foothillspsychshelby.direct.kno2fy.com

Organizations & group practices 1

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1922698877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S DEKALB ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281506184",
            "telephone_number": "704-480-1882",
            "fax_number": "704-480-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S DEKALB ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281506184",
            "telephone_number": "704-480-1882",
            "fax_number": "704-480-1832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Union Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542201",
            "country_code": "US",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZUCS",
        "first_name": "TAYLOR",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.