Samantha Tygr Taylor, DO is a
Student In An Organized Health Care Education/training Program physician based in Charleston, South Carolina. Samantha Tygr Taylor is licensed to practice in South Carolina (license number ) and her current practice location is 171 Ashley Ave, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 792-4607.
NPI number for Samantha Tygr Taylor is 1386539542 and her current mailing address is 655 E Bay St Apt 212, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386539542.
Physician's Profile
| Full Name | Samantha Tygr Taylor |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 171 Ashley Ave, Charleston, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386539542
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/15/2025
Medical Identifiers
Medical identifiers for Samantha Tygr Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386539542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | LL94523 (South Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Tygr Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Tygr Taylor, DO
655 E Bay St Apt 212,
Charleston, SC 29403-7087
Ph: (931) 703-1484 | Samantha Tygr Taylor, DO
171 Ashley Ave,
Charleston, SC 29425-0100
Ph: (843) 792-4607 |
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