Individual provider Active NPI

Christy Lynn Phillips, FNP

  • Family Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1346533304
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005279 Issued in NC
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

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NetworkGroup PAC ID 6608924931, 48 clinicians

Practice addresses (Care Compare)

619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331

Hospital & facility affiliations

  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5005279NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Network CurrentSince Aug 31, 2020 Accepting new patients
Columbus Regional Health Network CurrentSince Aug 31, 2020 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

  • Direct secure messaging: cphillips@crhn.cernerdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.