TAYLOR JO STACK MD
NPI 1780439810
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Q: What is Taylor Stack's NPI number?

The NPI number for Taylor Stack is 1780439810. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Taylor Stack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Taylor Stack was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 22, 2024PECOS Enrolled

170 MANNING DRIVE, CB 7070, CHAPEL HILL, NC 27599(984) 984-6484(991) 996-6794 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Taylor Jo Stack Md NPPES

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

TAYLOR JO STACK MD (NPI 1780439810) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780439810

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTAYLOR JO STACKCredential: MD

Location Address170 MANNING DRIVE, CB 7070Chapel Hill, NC 27599-7025

Mailing Address170 Manning Drive, Cb 7070Chapel Hill, NC 27599-7025 · (919) 966-3343 · Fax (991) 996-6794

Phone(984) 984-6484

Fax(991) 996-6794

Sole ProprietorNo

Enumeration DateApril 22, 2024

NPPES CertifiedApril 22, 2024

✔ NPI 1780439810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

170 MANNING DRIVE, Chapel Hill, NC 27599

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Jo Stack 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.

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