NPIMap

Individual provider Active NPI

Jason Vann Phillips, PA-C

  • Physician Assistant
  • Asheboro, NC
National Provider Identifier
1396798401
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102782 Issued in NC
Practice address
364 White Oak St
Emergency Department
Asheboro, NC 27203-5434
Phone
(336) 629-8807
NPI assigned
May 18, 2006
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 102782 NC
Physician Assistant 363A00000X 102782 NC Primary

Addresses

Primary practice location

364 White Oak St
Emergency Department
Asheboro, NC 27203-5434

Mailing address

432 Beaver Dam Rd
Liberty, NC 27298-9146
Phone (336) 622-6913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071130000163 NC Practitioner - Physician Assistant 8022107960 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Health Partners LLCGroup PAC ID 5092205732, 74 clinicians

Practice addresses (Care Compare)

364 White Oak St
Asheboro, NC 27203-5434
Phone (786) 985-3895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100Reported as group
Quality
89.92
Improvement activities
40
Cost
78.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102782NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Partners LLC CurrentSince Sep 6, 2025 Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 31, 2023 Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 31, 2023 Accepting new patients
American Healthcare Systems, LLC Past Accepting new patients

Locations

6600 Cow Pen Rd
Ste 205
Miami Lakes, FL 33014
Phone (786) 292-0301

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

Organizations & group practices 10

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 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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1396798401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BEAVER DAM RD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272989146",
            "telephone_number": "336-622-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WHITE OAK ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035434",
            "telephone_number": "336-629-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JASON",
        "middle_name": "VANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102782",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.