Active NPI
Jasper Louis Phillips Jr., MD
- Surgery Physician
- Kinston, NC
National Provider Identifier
1235646670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 14275
- Practice address
- 2522 Dogwood LN
Kinston, NC 28504-7102 - Phone
- (252) 522-0095
- NPI assigned
- Jan 8, 2018
- Last updated
- Oct 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 14275 | NC | Primary |
Addresses
Primary practice location
2522 Dogwood LN
Kinston, NC 28504-7102
Mailing address
2522 Dogwood LN
Kinston, NC 28504-7102
Phone (252) 522-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14275 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791072000000",
"number": "1235646670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 DOGWOOD LN",
"city": "KINSTON",
"state": "NC",
"postal_code": "285047102",
"telephone_number": "252-522-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 DOGWOOD LN",
"city": "KINSTON",
"state": "NC",
"postal_code": "285047102",
"telephone_number": "252-522-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JASPER",
"middle_name": "LOUIS",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-08",
"last_updated": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "14275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.