Lori M Taylor (NPI# 1184618282, PAC ID# 4284785684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184618282 |
| PAC ID by PECOS | 4284785684 |
| Professional Enrollment ID | I20090624000742 |
| Full Name | Lori M Taylor |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
1236 Guilford College Rd Suite 117 Jamestown NC 27282-9875 |
| Phone Number | 3368560801 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340171 | NOVANT HEALTH MATTHEWS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3545 Whitehall Park Dr, Suite 300, Charlotte, NC 28273-4179 | 9803028850 | NOVANT MEDICAL GROUP INC |
| 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 | 3368560801 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
1236 GUILFORD COLLEGE RD SUITE 117 |
| City | JAMESTOWN |
| State | NC |
| Zip | 27282-9875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niall Anthony Moreira | Physician Assistant | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Maria E Iruela | Geriatric Medicine | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Amanda B Adamski | Nurse Practitioner | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Kelly Hoyle | Nurse Practitioner | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Desiree M Howley | Physician Assistant | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Joseph C Mueller | Family Medicine | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Dimitrios P Hondros | Family Medicine | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Karen Michelle Timbrook Dillow | Physician Assistant | Novant Medical Group Inc | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila S Polinsky | Clinical Social Worker | 725 W Main St, Jamestown, NC 27282-7506 | |
| Monique T Crutchfield | Clinical Social Worker | 4917 Piedmont Pkwy, Suite 103d, Jamestown, NC 27282-7536 | |
| Sushmita D Allen | Optometry | 207 -b Oakdale Rd, Jamestown, NC 27282-9256 | |
| Peter M Rogaski | Optometry | 224 Jordan Ridge Way, Jamestown, NC 27282-9850 |
| City | JAMESTOWN |
| Zip Code | 27282 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JAMESTOWN + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.