Individual provider Active NPI

Ernest Frederick McPhail III, MD

  • Urology Physician
  • Clemmons, NC
National Provider Identifier
1174644314
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2011-00447 Issued in NC
Practice address
7210 Village Medical Cir Ste 225
Clemmons, NC 27012-8035
Phone
(336) 893-3080
Fax
(336) 893-3089
NPI assigned
Apr 3, 2007
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2011-00447 NC Primary

Addresses

Primary practice location

7210 Village Medical Cir Ste 225
Clemmons, NC 27012-8035

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice location 1

140 Kimel Park Dr
Novant Health Carolina Urological Associates
Winston Salem, NC 27103-6160
Phone (336) 245-2100

Other identifiers 1

IdentifierTypeStateIssuer
779450000MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emcphail129616@direct.novanthealth.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000697 NC Practitioner - UrologyPractitioner - General Surgery 1557457744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

140 Kimel Park Dr
Suite 100
Winston Salem, NC 27103-6160
Phone (336) 245-2100

1907 S Hawthorne Rd
Winston Salem, NC 27103-3916
Phone (336) 765-6373

7210 Village Medical Cir
Suite 225
Clemmons, NC 27012-8035
Phone (336) 893-3080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-00447NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc Urology CurrentSince Sep 23, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Urology CurrentSince Mar 16, 2022 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Aug 1, 2011 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 23, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100

1730 Kernersville Medical Pkwy
Ste 303
Kernersville, NC 27284
Phone (336) 564-4430

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100

1907 S Hawthorne Rd
Winston Salem, NC 27103

2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1174644314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 VILLAGE MEDICAL CIR STE 225",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128035",
            "telephone_number": "336-893-3080",
            "fax_number": "336-893-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Kimel Park Dr",
            "address_2": "Novant Health Carolina Urological Associates",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036160",
            "country_code": "US",
            "telephone_number": "336-245-2100",
            "fax_number": "336-768-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHAIL",
        "first_name": "ERNEST",
        "middle_name": "FREDERICK",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2011-00447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779450000",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emcphail129616@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "140 Kimel Park Dr",
            "address_2": "Novant Health Carolina Urological Associates",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.