MIRANDA TAYLOR GAILLARD FNP-BC
NPI 1093407603
Nurse Practitioner - Family in Anderson, SC

Active since May 23, 2023PECOS Enrolled
400 N FANT ST STE E, ANDERSON, SC 29621(864) 373-7246 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, May 23, 2023 (2 updates tracked since 2023).

About Miranda Taylor Gaillard Fnp-bc NPPES

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

MIRANDA TAYLOR GAILLARD FNP-BC (NPI 1093407603) is an individual family provider in Anderson, South Carolina, licensed in South Carolina (27415) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093407603
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA TAYLOR GAILLARDCredential: FNP-BC
Location Address400 N FANT ST STE EAnderson, SC 29621-5720
Mailing Address400 N Fant St Ste EAnderson, SC 29621-5720 · (864) 373-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 23, 2023
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1093407603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 27415
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2023036845 (SC)
400 N FANT ST STE E, Anderson, SC 29621

Secondary Practice Location 1

Location 12076 Woodruff RdGreenville, SC 29607-5939 · Phone (864) 373-7246

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miranda Taylor Gaillard Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638657943
PECOS Enrollment IDI20260128003980
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Miranda Gaillard's NPI number?

The NPI number for Miranda Gaillard is 1093407603. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Miranda Gaillard located?

Miranda Gaillard practices at 400 N Fant St Ste E, Anderson, SC 29621. The listed phone number is (864) 373-7246.

What is Miranda Gaillard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Miranda Gaillard enrolled in Medicare?

Yes. Miranda Gaillard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miranda Gaillard was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.