DAVID SAMUEL TAYLOR
NPI 1114622602
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since April 03, 2023PECOS Enrolled
1601 OWEN DR, FAYETTEVILLE, NC 28304(910) 678-0100 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Samuel Taylor NPPES

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

DAVID SAMUEL TAYLOR (NPI 1114622602) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114622602
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID SAMUEL TAYLOR
Location Address1601 OWEN DRFayetteville, NC 28304-3425
Mailing Address1601 Owen DrFayetteville, NC 28304-3425 · (910) 678-0100
Sole ProprietorYes
Enumeration DateApril 3, 2023
NPPES CertifiedApril 3, 2023
NPI 1114622602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1601 OWEN DR, Fayetteville, NC 28304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Samuel Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine (Infectious Disease)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304

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 David Taylor's NPI number?

The NPI number for David Taylor is 1114622602. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is David Taylor located?

David Taylor practices at 1601 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 678-0100.

What is David Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Taylor enrolled in Medicare?

Yes. David Taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Taylor was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.