1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Pediatrics
  6. NPI Profile

MARY REBECCA TAIT MD
NPI 1316159528
Pediatrics in Charlotte, NC

Active since May 03, 2007PECOS Enrolled
3541 RANDOLPH RD, STE 206, CHARLOTTE, NC 28211(704) 381-8336 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Rebecca Tait Md NPPES

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

MARY REBECCA TAIT MD (NPI 1316159528) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (9801782) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316159528
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY REBECCA TAITCredential: MD
Location Address3541 RANDOLPH RD, STE 206Charlotte, NC 28211-1082
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-8336
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 18, 2023
✔ NPI 1316159528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 9801782
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3541 RANDOLPH RD, Charlotte, NC 28211
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Rebecca Tait Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

ANASTASHIA NATASHA BROWN LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
JENNIFER MANNING THOMAS PHD
Psychologist
3541 RANDOLPH RD, STE 206
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
KATHLEEN HOGAN WHITE PT, DPT, CSCS
Physical Therapist
3541 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 323-2520
ROBERT CUSTRINI PH.D.
Psychologist (Clinical)
3541 RANDOLPH RD, SUITE 102
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-0960
JULIE KATHLEEN CAMPBELL LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
NELAN LLC
Pharmacy (Community/Retail Pharmacy)
3541 RANDOLPH RD, SUITE 104
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-0707
TYLER MARIE SINGLETON LCSW
Social Worker
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
ROZIE ANNA KHASHMANIAN LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336

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 Mary Tait's NPI number?

The NPI number for Mary Tait is 1316159528. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Mary Tait located?

Mary Tait practices at 3541 Randolph Rd Ste 206, Charlotte, NC 28211. The listed phone number is (704) 381-8336.

What is Mary Tait's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Tait enrolled in Medicare?

Yes. Mary Tait is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Tait was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.