Active NPI
Christy Lynn Phillips, FNP
- Family Nurse Practitioner
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005279
- Practice address
- 604 N Madison St
Whiteville, NC 28472-3310 - Phone
- (910) 640-8660
- NPI assigned
- May 24, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005279 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5005279 | NC | Primary |
Addresses
Primary practice location
604 N Madison St
Whiteville, NC 28472-3310
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
36 McNeill Plz
Whiteville, NC 28472-8602
Phone (910) 641-8660
Other practice location 2
619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cphillips916193@CarolinasHealthcareSystem.direct-ci.com | Columbus Regional Healthcare System, Inc. | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111028000227 | NC | Practitioner - Nurse Practitioner | 6002089513 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbus Regional Health Network
Practice addresses (Care Compare)
619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331
Hospital & facility affiliations
- Columbus Regional Healthcare System
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005279 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients | |
| Bladen Healthcare LLC | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680
619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331
612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064
604 N Madison St
Whiteville, NC 28472
Phone (910) 640-8660
36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064
Interoperability endpoints
- cphillips@crhn.cernerdirect.com
- cphillips916193@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
-
- Family Medicine Physician
- Tabor City, NC
- NPI 1629318886
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1346533304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N MADISON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723310",
"telephone_number": "910-640-8660"
}
],
"practiceLocations": [
{
"address_1": "36 McNeill Plz",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284728602",
"country_code": "US",
"telephone_number": "910-641-8660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 Jefferson St",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723707",
"country_code": "US",
"telephone_number": "910-642-0331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CHRISTY",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2024-07-15",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005279",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cphillips916193@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Columbus Regional Healthcare System, Inc.",
"address_1": "604 N Madison St",
"city": "Whiteville",
"state": "NC",
"country_code": "US",
"postal_code": "284723310",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.