Individual provider Active NPI

Eric Kinsey Phillips, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1679734206
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02042 Issued in NC
Practice address
1915 Lendew St
Greensboro, NC 27408-7033
Phone
(336) 275-3325
Fax
(336) 275-5346
NPI assigned
Jun 17, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02042 NC Primary
Orthopaedic Surgery Physician 207X00000X 0010-02042 NC

Addresses

Primary practice location

1915 Lendew St
Greensboro, NC 27408-7033

Mailing address

1915 Lendew St
Greensboro, NC 27408-7033
Phone (336) 275-3325

Other practice location 1

611 N Lindsay Street
Suite 200
High Point, NC 27262-4318
Phone (336) 802-2250

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
I20100126000355 NC Practitioner - Physician Assistant 6204901531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1915 Lendew St
Greensboro, NC 27408-7033
Phone (336) 275-3325

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-02042NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Orthopaedic Surgery CurrentSince Oct 4, 2025 Accepting new patients
Southeastern Orthopaedic Specialists, PA Orthopaedic Surgery CurrentSince Jul 7, 2014 Accepting new patients
Southeastern Orthopaedic Specialists, PA Orthopaedic Surgery CurrentSince Jul 7, 2014 Accepting new patients
Emergeortho PA CurrentSince Oct 4, 2025 Accepting new patients

Locations

1915 Lendew St
Greensboro, NC 27408
Phone (336) 275-3325

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • Direct secure messaging: eric.phillips.1@847.direct.athenahealth.com

Organizations & group practices 4

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679734206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087033",
            "telephone_number": "336-275-3325",
            "fax_number": "336-275-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087033",
            "telephone_number": "336-275-3325",
            "fax_number": "336-275-5346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N Lindsay Street",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624318",
            "country_code": "US",
            "telephone_number": "336-802-2250",
            "fax_number": "336-802-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ERIC",
        "middle_name": "KINSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02042",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "0010-02042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.