Phoenix Investments Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-076-084 Issued in NC

Legal business name

PHOENIX INVESTMENTS GROUP, LLC

Practice address

508 Quartz Dr
Durham, NC 27703-6648

Phone

(919) 812-8115

Fax

(919) 957-8342

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Bridgett Shoffner

Title

Executive Director

Phone

(919) 812-8115

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Angel Flight Health Services Doing business as

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124165113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 QUARTZ DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036648",
            "telephone_number": "919-812-8115",
            "fax_number": "919-957-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 QUARTZ DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036648",
            "telephone_number": "919-812-8115",
            "fax_number": "919-957-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX INVESTMENTS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOFFNER",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-812-8115"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-076-084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418199",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301745",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Flight Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Phillips
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• Shelby Lynn Phillips, PA-C
• Tyler Phinizy, DPT
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• PHP of NC, Inc
• PHS
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• Physical Recovery, LLC
• Physical Therapy of North Carolina, LLC

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.