Active NPI
Taylor Scott Corum
- Physician Assistant
- Lillington, NC
National Provider Identifier
1992438329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4350 US 421 S
Lillington, NC 27546-6760 - Phone
- (910) 893-1210
- NPI assigned
- Jul 4, 2022
- Last updated
- Jul 29, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
4350 US 421 S
Lillington, NC 27546-6760
Mailing address
304 Rosewood GDNS
Goldsboro, NC 27534-9416
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Arthritis and Pain Consultants, PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- taylor.corum.p1@direct.iapc.nextgenshare.com
- tcorum792226@direct.unc.nchie.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Kinston, NC
- NPI 1689923757
-
- Rheumatology Physician
- Goldsboro, NC
- NPI 1356815138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1992438329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 ROSEWOOD GDNS",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 US 421 S",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275466760",
"telephone_number": "910-893-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORUM",
"first_name": "TAYLOR",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-04",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lillington, NC
- Kathryn Collins
- Community Education and Programs
- Community Home Care of Robeson County, LLC (Community Home Care and Hospice)
- Continuum Care Corporation
- Continuum Care Corporation
- Ashley L Cothran, PA-C
- County of Harnett
- County of Harnett
- County of Harnett
- County of Harnett Dba Harnett County Health Department (Harnett County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.