| Ayzia Taylor, APRN | |
| 
					40 Baldwin Ave, Lugoff, SC 29078-9406  | |
| (803) 408-3262 | |
| Not Available | 
| Full Name | Ayzia Taylor | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 40 Baldwin Ave, Lugoff, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205371754 | NPI | - | NPPES | 
| 20601 | Other | SC | SC LLR NURSING LICENSE NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 20601 (South Carolina) | Primary | 
| Entity Name | Sandhills Medical Foundation, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326  | 
| Entity Name | Sandhills Medical Foundation, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922584481 PECOS PAC ID: 8224949821 Enrollment ID: O20200528000475  | 
| Entity Name | Sandhills Medical Foundation, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083228779 PECOS PAC ID: 8224949821 Enrollment ID: O20230104003131  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ayzia Taylor, APRN 40 Baldwin Ave, Lugoff, SC 29078-9406 Ph: (803) 408-3262  | Ayzia Taylor, APRN 40 Baldwin Ave, Lugoff, SC 29078-9406 Ph: (803) 408-3262  | 
Felicia Denise Harris, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Exchange Dr, Lugoff, SC 29078 Phone: 803-424-2200 Fax: 803-408-8608  | |
Gayla R Ramey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16 Duke Dr, Lugoff, SC 29078 Phone: 803-295-0607  | |
Justin M Crawford, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-438-1806  | |
Cathy Porter, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1165 Highway 1 S, Suite 400, Lugoff, SC 29078 Phone: 803-408-3262 Fax: 803-408-8895  | |
Jill S Sheorn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-438-6023 Fax: 803-438-3671  | |
Mrs. Christa Campbell Boss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Pepper Ridge Dr, Lugoff, SC 29078 Phone: 803-669-5616  |