JACOB MICHAEL TAYLOR PA-C NPI 1720318348

NPI Information

  • NPI: 1720318348
  • Provider Name: JACOB MICHAEL TAYLOR, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3000 NEW BERN AVE
    RALEIGH, NC
    ZIP 27610
  • Phone: (813) 343-5500

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NPI Details

Jacob Michael Taylor, PA-C is a surgical physician assistant in Raleigh, NC with 17 years of experience. Jacob Michael Taylor, PA-C NPI is 1720318348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (813) 343-5500
Fax: (813) 343-5506

The NPI 1720318348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)

The enumeration date for this NPI number is 1/4/2010 and was last updated on 4/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical0010 02147NORTH CAROLINANo
2363AS0400XPhysician AssistantSurgical0010-02147NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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