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

Taylor Jane Landis, PA-C

Individual provider Medical Physician Assistant · NPI 1962119503

Taylor Jane Landis, PA-C is a Physician Assistant in Jacksonville, North Carolina. Qualified in 2022, 4 years ago. Practices with Jacksonville Children's and Multispecialty Clinic, PA, a 22-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
4
Licensed in
NC, PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

114A Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0700
Fax: (910) 353-5305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 118 Memorial Dr, Jacksonville, NC 28546-6328 — (910) 353-0581
  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 — (610) 858-6885

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA064059 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-14619 (NC)

Record details

NPI number1962119503
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jacksonville Children'S And Multispecialty Clinic, Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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