TAYLOR JANE LANDIS PA-C
NPI 1962119503
Physician Assistant - Medical in Jacksonville, NC
NPI Status: Active since November 02, 2022
Contact Information
114A MEMORIAL DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-0700
Fax: (910) 353-5305
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About TAYLOR LANDIS
This page provides the complete NPI Profile along with additional information for Taylor Landis, a primary care provider established in Jacksonville, North Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1962119503 assigned on November 2022. The practitioner's primary taxonomy code is 363AM0700X with license number MA064059 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1962119503
- Provider Name
- TAYLOR JANE LANDIS PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 114A MEMORIAL DR JACKSONVILLE, NC 28546
- Location Phone
- (910) 353-0700
- Location Fax
- (910) 353-5305
- Mailing Address
- PO BOX 986513 BOSTON, MA 02298
- Mailing Phone
- (910) 219-8326
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-02-2022
- Last Update Date
- 10-08-2024
- Code Navigator
A primary care provider (PCP) like Taylor Landis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 3401 Civic Center Blvd
Philadelphia, PA 19104
(610) 858-6885 - 118 Memorial Dr
Jacksonville, NC 28546
(910) 353-0581
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- MA064059
- License State
- PA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 0010-14619 (NC) |
Medicare Participation & PECOS Enrollment Status
Taylor Landis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 1 | 1 | 9 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 2 | 1 | 18 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 2 + 1 + 1 + 8 + 5 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1962119503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356531396 | COASTAL OB GYN AND INFERTILITY Organization | Obstetrics & Gynecology | 114A MEMORIAL DR JACKSONVILLE, NC 28546 (361) 851-5000 |
| 1306017165 | BREAKTHROUGH SERVICES INC. Organization | Preferred Provider Organization | 114A MEMORIAL DR JACKSONVILLE, NC 28546 (910) 347-6009 |
| 1528658697 | TIFFANY CLEMMEY FNP Individual | Nurse Practitioner (Family) | 114A MEMORIAL DR JACKSONVILLE, NC 28546 (910) 353-0700 |
| 1477511608 | CATHERINE S KITTRELL Individual | Physician Assistant | 114A MEMORIAL DR JACKSONVILLE, NC 28546 (910) 353-0700 |
| 1043987852 | LEAH CHRISTINE FITZGERALD FNP-BC Individual | Nurse Practitioner (Family) | 114A MEMORIAL DR JACKSONVILLE, NC 28546 (910) 353-0700 |
| 1720636038 | KATHERINE PRICE SUTHERLAND FNP-C Individual | Nurse Practitioner (Family) | 114A MEMORIAL DR JACKSONVILLE, NC 28546 (910) 353-0700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962119503, enumerated in the NPI registry as an "individual" on November 02, 2022
The provider is located at 114a Memorial Dr Jacksonville, Nc 28546 and the phone number is (910) 353-0700
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on November 02, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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