Individual provider Active NPI

Denise Helena Sutherland-Phillips, M.D.

  • Family Medicine Physician
  • Laurinburg, NC
National Provider Identifier
1467412130
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2003-01418 Issued in NC
Practice address
1405 West Blvd
Laurinburg, NC 28352-9170
Phone
(919) 783-5300
Fax
(919) 783-5007
NPI assigned
Mar 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2003-01418 NC Primary

Addresses

Primary practice location

1405 West Blvd
Laurinburg, NC 28352-9170

Mailing address

4040 Barrett Dr
Ste 100
Raleigh, NC 27609-6643
Phone (919) 783-5300

Other identifiers 5

IdentifierTypeStateIssuer
141MXOtherNCBLUE CROSS BLUE SHIELD OF
7006031OtherNCAETNA
4937014OtherNCCIGNA HEALTHCARE
5901842MedicaidNC
79576OtherNCUNITED HEALTHCARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000956 NC Practitioner - Family Practice 5496641946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003-01418NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467412130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BARRETT DR",
            "address_2": "STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096643",
            "telephone_number": "919-783-5300",
            "fax_number": "919-783-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WEST BLVD",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283529170",
            "telephone_number": "919-783-5300",
            "fax_number": "919-783-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND-PHILLIPS",
        "first_name": "DENISE",
        "middle_name": "HELENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2003-01418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "141MX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7006031",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "4937014",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901842",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "79576",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.