TAYLOR WHARTON GREEN
NPI 1790540904
Nurse Practitioner - Family in Summerville, SC

Q: What is Taylor Green's NPI number?

The NPI number for Taylor Green is 1790540904. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Q: What is Taylor Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Green was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 16, 2024PECOS Enrolled

92 SPRINGVIEW LN, SUMMERVILLE, SC 29485(843) 871-4006 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, Sep 5, 2025, May 13, 2025 (3 updates tracked since 2025).

On this page

About Taylor Wharton Green NPPES

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

TAYLOR WHARTON GREEN (NPI 1790540904) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (29103) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2024).

NPPES Registry Identity

NPI1790540904

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAYLOR WHARTON GREEN

Location Address92 SPRINGVIEW LNSummerville, SC 29485-8153

Mailing Address92 Springview LnSummerville, SC 29485-8153 · (843) 871-4006 · Fax (843) 871-4074

Phone(843) 871-4006

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2024

Enumeration DateFebruary 16, 2024

Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1790540904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 29103

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

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 Wharton Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880198928

PECOS Enrollment IDI20250919003769

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 29485 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 6

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

SOUTH CAROLINA SLEEP MEDICINE LLC

Clinic/Center (Sleep Disorder Diagnostic)