TAYLOR MIZELL STUKES MD
NPI 1649667585
Pediatrics in Charlotte, NC

Q: What is Taylor Stukes's NPI number?

The NPI number for Taylor Stukes is 1649667585. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Q: What is Taylor Stukes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Taylor Stukes was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 17, 2015PECOS Enrolled

2400 SOUTH BLVD STE 200, CHARLOTTE, NC 28203(704) 774-3024(704) 774-3025 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2026, Nov 21, 2023, May 24, 2022 and 4 more (7 updates tracked since 2015).

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About Taylor Mizell Stukes Md NPPES

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

TAYLOR MIZELL STUKES MD (NPI 1649667585) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2018-00778) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Mill.

NPPES Registry Identity

NPI1649667585

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTAYLOR MIZELL STUKESCredential: MD

Location Address2400 SOUTH BLVD STE 200Charlotte, NC 28203-5773

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 774-3024

Fax(704) 774-3025

Sole ProprietorNo

Enumeration DateApril 17, 2015

Last NPPES UpdateMarch 25, 20267 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1649667585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NC · 2018-00778✔ Licensed in CA · A166799✔ Licensed in SC · 86238

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.

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

2400 SOUTH BLVD STE 200, Charlotte, NC 28203

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Secondary Practice Location 1

Location 1342 Patricia Ln Ste 105Fort Mill, SC 29708-6608 · Phone (803) 431-7490 · Fax (803) 431-7491

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Mizell Stukes 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.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Stukes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC

Same address

Family Medicine

2400 SOUTH BLVD STE 103
Charlotte, NC 28203

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1912447079 (704) 316-3017

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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 7

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

JENNIFER LINGG MARTIN APP

Nurse Practitioner (Pediatrics, Critical Care)