MEDICARE: NICHOLAS ALEXANDER TAYLOR M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	218051	NC
2	207N00000X	Dermatology Physician	2021-01225	NC
3	207ND0101X	MOHS-Micrographic Surgery Physician	2021-01225	NC

General Provider Information

NPI Number	:	1154785152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS ALEXANDER TAYLOR M.D., PH.D.

Provider Business Mailing Address
First Line	:	127 HILLSPRING LN
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-4010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 ATRIUM DR STE 250
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6673
Country	:	US
Telephone Number	:	757-871-5107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	03/19/2026

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