Conner Grindstaff Taylor, in Southport, NC - Medicare Occupational Therapist Provider

Conner Grindstaff Taylor, is a medicare enrolled "Occupational Therapist" provider in Southport, North Carolina. Her current practice location is 924 N Howe St, Southport, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 457-3843.

Conner Grindstaff Taylor is licensed to practice in North Carolina (license number 13890) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396338968.

Contact Information

	Conner Grindstaff Taylor,
	924 N Howe St, Southport, NC 28461-3038
	(910) 457-3843
	(910) 454-4711

Map and Direction

Healthcare Provider's Profile

Full Name	Conner Grindstaff Taylor
Gender	Female
Speciality	Occupational Therapist
Location	924 N Howe St, Southport, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396338968
Provider Enumeration Date: 02/15/2021
Last Update Date: 01/08/2026

Medicare PECOS Information:

PECOS PAC ID: 0840608048
Enrollment ID: I20210427001992

Medical Identifiers

Medical identifiers for Conner Grindstaff Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396338968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	13890 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Conner Grindstaff Taylor allows following entities to bill medicare on her behalf.

Provider Name	Acme Therapies Co
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417475898 PECOS PAC ID: 8022384577 Enrollment ID: O20171027001022

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. Conner Grindstaff Taylor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Conner Grindstaff Taylor, 924 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-3843	Conner Grindstaff Taylor, 924 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-3843

Reviews and Comments

Occupational Therapist in Southport, NC

The Gift School, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4928 Southport Supply Rd Se, Southport, NC 28461 Phone: 910-363-4759
Mrs. Janice Hare Florio, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5083 Southport Supply Rd Se, Unit 4, Southport, NC 28461 Phone: 910-454-9001 Fax: 910-454-4039
Christine Louise Sparks, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 630 N Fodale Ave, Southport, NC 28461 Phone: 910-457-0830
Ms. Anita Faye Mckinney, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 630 N Fodale Ave, Southport, NC 28461 Phone: 910-457-0830
Benchmark Physical Therapy Of Nc, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5013 Southport Crossing Way Ste 204, Southport, NC 28461 Phone: 910-604-9550 Fax: 910-338-3112
Mrs. Victoria Wessell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 630 N Fodale Ave, Southport, NC 28461 Phone: 910-457-4686

Conner Grindstaff Taylor, - Medicare Occupational Therapist in Southport, NC