Jonathan Gabriel Eli-Phillips, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2024-01736 Issued in NC

Practice address

1341 Walter Reed Rd
Fayetteville, NC 28304-4415

Phone

(910) 615-3500

Fax

(910) 615-3560

NPI assigned

Feb 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, NY, FL, MN, NC5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Obstetrics/Gynecology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 37)

Interoperability endpoints

• Direct secure messaging: jeliphillips126266@capefearvalley.direct-ci.com
• Direct secure messaging: jeliphillips2959768@carolinashealthcaresystem.direct-ci.com

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.

• Temple Faculty Practice Plan Inc

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment NPD
• Hoke Healthcare, LLC

  • Clinic/Center
  • Raeford, NC
  • NPI 1114277035

  Obstetrics & Gynecology

  Medicare reassignment NPD
• DHP of Manatee PA

  • Obstetrics & Gynecology Physician
  • Mangonia Park, FL
  • NPI 1134771611
  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment NPD
• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
  • NPI 1710647334
  Medicare reassignment NPD
• OBGYN Hospitalist Medical Services of New York, P.C.

  • Obstetrics & Gynecology Physician
  • Niskayuna, NY
  • NPI 1518285055
  Medicare reassignment NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Sanford Health Network

  • Critical Access Hospital
  • Luverne, MN
  • NPI 1497703045
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment
• Cumberland County Hospital System Inc

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1497757785
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1417196601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 DIAGONAL RD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871008",
            "telephone_number": "507-372-3800",
            "fax_number": "507-372-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044415",
            "telephone_number": "910-615-3500",
            "fax_number": "910-615-3560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Diagonal Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "561871008",
            "country_code": "US",
            "telephone_number": "507-372-3800",
            "fax_number": "507-372-3393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1018 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "56187",
            "country_code": "US",
            "telephone_number": "507-372-3800",
            "fax_number": "507-372-3806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6387 Ramsey St Unit 240",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283119442",
            "country_code": "US",
            "telephone_number": "910-615-3999",
            "fax_number": "910-321-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760018",
            "country_code": "US",
            "telephone_number": "910-904-8035",
            "fax_number": "910-615-9752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELI-PHILLIPS",
        "first_name": "JONATHAN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "234997",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2024-01736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04034680",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "J400195165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Elder, LCSWA
• Zelma Mae Elder
• Elevate Mental Health & Wellness Solutions, PLLC
• Issa Elgendy, MD
• Samar S Elgendy, MD
• Elite Adolescent Care, Inc.
• Elite Care
• Elite Care and Management Services
• Elite Care GH 1 LLC
• Elite Care GH2 LLC

• Obstetrics & Gynecology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.

Verify at the official NPI Registry.