Tracey Boykin Phillips, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

212853 Issued in NC

Practice address

1520 Sunday Dr
Raleigh, NC 27607-5253

Phone

(919) 782-3456

Fax

(919) 852-3580

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracey.phillips.1@25810.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Healthcare Systems, LLC

  • Otolaryngology Physician
  • Asheboro, NC
  • NPI 1194310235
  Medicare reassignment Care Compare group NPD
• Raleigh Neurology Associates, P. a.

  • Neurology Physician
  • Raleigh, NC
  • NPI 1215954003
  Medicare reassignment
• American Healthcare Systems, LLC

  • Cardiovascular Disease Physician
  • Asheboro, NC
  • NPI 1346078425
  NPD
• American Healthcare Systems, LLC

  • Family Medicine Physician
  • Liberty, NC
  • NPI 1598350647
  NPD
• American Healthcare Systems, LLC

  • Pediatrics Physician
  • Asheboro, NC
  • NPI 1184219222
  NPD (past)
• Genesis Natural Medicine Center, PLC

  • Naturopath
  • Tucson, AZ
  • NPI 1033474291
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1083762710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076010",
            "telephone_number": "919-782-3456",
            "fax_number": "919-783-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075253",
            "telephone_number": "919-782-3456",
            "fax_number": "919-852-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TRACEY",
        "middle_name": "BOYKIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "212853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Phillips, LCSW
• Stephanie Dawn Phillips, M.ED., LPC, NCC,CCTP
• Taya Phillips
• Thomas Andrew Phillips, LAT, ATC
• Tiara Amber Phillips, APRN
• Troy R Phillips, PT
• Tyra Dee Phillips, M.S.CCC-SLP
• Wendy Jill Phillips, PT
• Whitney Scott Phillips, MD
• Philson'S Home Health

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.