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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAYLOR DEREK JOHNSON MD
NPI 1003494477
Anesthesiology in Charlotte, NC

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
2001 VAIL AVE, CHARLOTTE, NC 28207(704) 304-5000 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Jan 13, 2026, Mar 29, 2021 (3 updates tracked since 2021).

About Taylor Derek Johnson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR DEREK JOHNSON MD (NPI 1003494477) is an individual anesthesiology provider in Charlotte, North Carolina, licensed in Pennsylvania (MD490907) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2021).

NPPES Registry Identity

NPI1003494477
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTAYLOR DEREK JOHNSONCredential: MD
Location Address2001 VAIL AVECharlotte, NC 28207-1219
Mailing Address6135 Park South Dr Ste 510Charlotte, NC 28210-0100
Phone(704) 304-5000
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1003494477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in PA · MD490907✔ Licensed in NC · 2026-02696
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2001 VAIL AVE, Charlotte, NC 28207
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor Derek Johnson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335543750
PECOS Enrollment IDI20251013000194
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE KAY RUFFING ADCOCK MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
JENNIFER J CLINE PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5837
VISHALAKSHI KALYANA SUNDARAM MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
KRYSTENE LYNN HELGESON PA
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-6070
ESTHER REBECCA LANDIS HAYES MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
SHENA S PATEL PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5632
DUPAL PATEL MD
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
KELLY CHRISTINE DAVIS CRNA
Nurse Anesthetist, Certified Registered
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Johnson's NPI number?

The NPI number for Taylor Johnson is 1003494477. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Taylor Johnson located?

Taylor Johnson practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-5000.

What is Taylor Johnson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Taylor Johnson enrolled in Medicare?

Yes. Taylor Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Taylor Johnson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.