Active NPI
John G Phillips, M. D.
- Obstetrics & Gynecology Physician
- Charlotte, NC
National Provider Identifier
1326070111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 28075
- Practice address
- 15110 John J Delaney Dr
Suite 100
Charlotte, NC 28277-3545 - Phone
- (704) 512-5100
- Fax
- (704) 512-5101
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 11491 | SC | |
| Obstetrics & Gynecology Physician | 207V00000X | 28075 | NC | Primary |
Addresses
Primary practice location
15110 John J Delaney Dr
Suite 100
Charlotte, NC 28277-3545
Mailing address
PO Box 601067
Charlotte, NC 28260-1067
Phone (704) 512-5100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7905171 | Medicaid | NC | |
| 1326070111 | Medicaid | NC | |
| 67621 | Other | NC | NC BLUE CROSS BLUE SHIELD |
| 114913 | Medicaid | SC | |
| 8967621 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28075 | NC | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1326070111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601067",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601067",
"telephone_number": "704-512-5100",
"fax_number": "704-512-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15110 JOHN J DELANEY DR",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773545",
"telephone_number": "704-512-5100",
"fax_number": "704-512-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JOHN",
"middle_name": "G",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "11491",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "28075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7905171",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326070111",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BLUE CROSS BLUE SHIELD",
"identifier": "67621",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114913",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8967621",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.