TAYLOR JANE LANDIS PA-C
NPI 1962119503
Physician Assistant - Medical in Jacksonville, NC

Active since November 02, 2022PECOS EnrolledAccepts Medicare Assignment
114A MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0700(910) 353-5305 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Nov 2, 2022 (2 updates tracked since 2022).

About Taylor Jane Landis Pa-c NPPES

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

TAYLOR JANE LANDIS PA-C (NPI 1962119503) is an individual medical provider in Jacksonville, North Carolina, licensed in Pennsylvania (MA064059) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962119503
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTAYLOR JANE LANDISCredential: PA-C
Location Address114A MEMORIAL DRJacksonville, NC 28546-6328
Mailing AddressPo Box 986513Boston, MA 02298-6513 · (910) 219-8326
Fax(910) 353-5305
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2022
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1962119503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in PA · MA064059 Licensed in NC · 0010-14619
114A MEMORIAL DR, Jacksonville, NC 28546

Secondary Practice Locations 2

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (610) 858-6885
Location 2118 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 353-1351

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 and accepts Medicare assignment

Taylor Jane Landis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961936521
PECOS Enrollment IDI20241105003795
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Preferred Provider Organization
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Obstetrics & Gynecology
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Physician Assistant
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
114A MEMORIAL DR
JACKSONVILLE, NC 28546

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 Taylor Landis's NPI number?

The NPI number for Taylor Landis is 1962119503. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Taylor Landis located?

Taylor Landis practices at 114A Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-0700.

What is Taylor Landis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Taylor Landis enrolled in Medicare?

Yes. Taylor Landis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Taylor Landis accept?

Health plans from Blue Cross and Blue Shield of NC list Taylor Landis 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.

Is Taylor Landis affiliated with any hospitals?

According to CMS data, Taylor Landis is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Taylor Landis was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.