GWENDOLYN ELAINE PETERSON-TAITAGUE
NPI 1679149280
Nurse Practitioner - Family in West Columbia, SC
About Gwendolyn Elaine Peterson-taitague NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWENDOLYN ELAINE PETERSON-TAITAGUE (NPI 1679149280) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (24676) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gwendolyn Elaine Peterson-taitague is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST COLUMBIA, SC 29169
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 Gwendolyn Peterson-taitague's NPI number?
The NPI number for Gwendolyn Peterson-taitague is 1679149280. It was assigned to this individual provider in the NPPES registry on June 3, 2021. The provider is also known as Gwendolyn Elaine Taitague Np.
Where is Gwendolyn Peterson-taitague located?
Gwendolyn Peterson-taitague practices at 1535 Platt Springs Rd # 4283, West Columbia, SC 29169. The listed phone number is (760) 223-3098.
What is Gwendolyn Peterson-taitague's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gwendolyn Peterson-taitague enrolled in Medicare?
Yes. Gwendolyn Peterson-taitague is registered in the Medicare PECOS enrollment system.
What insurance does Gwendolyn Peterson-taitague accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Gwendolyn Peterson-taitague as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gwendolyn Peterson-taitague was last updated on January 17, 2024. 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.
# Gwendolyn Elaine Peterson-Taitague · NPI 1679149280
Family physician in West Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since June 3, 2021.
## Identity
- **NPI:** 1679149280 (Entity type: Individual)
- **Enumerated:** June 3, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 24676 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1535 PLATT SPRINGS RD # 4283, West Columbia, SC 29169-5502
- **Phone:** (760) 223-3098
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679149280) · Data from the CMS NPPES public registry.