Active NPI
Taylor Michelle Szucs, PA-C
- Physician Assistant
- Shelby, NC
National Provider Identifier
1922698877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11963
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- 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.
-
- Psychiatry Physician
- Shelby, NC
- NPI 1770624637
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
- Survivor Friendly LLC (Survivor Friendly Manelines)
- Survivor Friendly, LLC (Manelines Unique Boutique)
- Amber Nicole Swanner, RD
- Sweet Caroline Assisted Living LLC
- Anita Jean Szabo, LCSW
- Jessica Gordon Talbert, MSW
- Tanyi's Respite & Habilitation Services
- Tanyi's Respite and Habilation Services,Inc
- Tanyi's Respite and Habilitation Services
- Andrew John Taylor, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.