Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Taylor Keith Baucom, PA-C

Individual provider Physician Assistant · NPI 1891479929

Mr. Taylor Keith Baucom, PA-C is a Physician Assistant in Little River, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2022, 4 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3793 McDowell Ln Medical Park 2 Ste 100
Little River, SC 29566
Phone: (843) 390-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4861 (SC)

Record details

NPI number1891479929
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 2, 2023
Mailing address4917 Campobello Dr, Monroe, NC 28110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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