TAYLOR MANTZ - NPI 1205368024 - Physician Assistant in Easley, SC

Q: What is Taylor Mantz's NPI number?

The NPI number for Taylor Mantz is 1205368024. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Taylor Mantz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Mantz was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Taylor Mantz NPPES

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

TAYLOR MANTZ (NPI 1205368024) is an individual surgical provider in Easley, South Carolina, licensed in South Carolina (6214) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Allentown, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205368024

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameTAYLOR MANTZ

Location Address309 E 1ST AVEEasley, SC 29640-3040

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8603

Phone(864) 850-2663

Fax(864) 306-0012

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 30, 2017

Last NPPES UpdateApril 20, 20262 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1205368024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in SC · 6214

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

309 E 1ST AVE, Easley, SC 29640

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Secondary Practice Location 1

Location 12868 Fairfield DrAllentown, PA 18103-5412 · Phone (908) 328-9561

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 Mantz 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 ID2769959410

PECOS Enrollment IDI20260430000596

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 12

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

MRS. KATHLEEN MCCOMBS MITCHELL PA-C

Physician Assistant (Surgical)