Individual provider Active NPI

Phillip Glenn Marks, M.D.

  • Urology Physician
  • Raleigh, NC
National Provider Identifier
1720173420
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
39444 Issued in NC
Practice address
4420 Lake Boone TRL Ste 203
Raleigh, NC 27607-7505
Phone
(919) 784-2930
Fax
(919) 784-2929
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 39444 NC Primary

Addresses

Primary practice location

4420 Lake Boone TRL Ste 203
Raleigh, NC 27607-7505

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-4111

Other practice location 1

1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350
Phone (910) 662-8765

Other practice location 2

106 W Medical Park Dr
Suite a
Lexington, NC 27292-6853
Phone (336) 248-4413

Other identifiers 4

IdentifierTypeStateIssuer
2150804COtherNCPSC MEDICARE PROVIDER #
53944OtherNCBLUE CROSS/BLUE SHIELD-NC
8953944MedicaidNC
P00064804OtherNCRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address PMARKS16563@DIRECT.NOVANTHEALTH.ORG
Direct Messaging Address pmarks214796@direct.UNC.nchie.net Direct

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
I20040708000431 NC Practitioner - Urology 8426036310 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group Coastal Region LLC 577 clinicians
The Charlotte-Mecklenburg Hospital Authority 594 clinicians

Practice addresses (Care Compare)

1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350
Phone (910) 662-8765

441 McAlister Rd
Suite 1200
Lincolnton, NC 28092-4127
Phone (980) 212-6200

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39444NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc Urology CurrentSince Jun 28, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 22, 2024 Accepting new patients
Unc Physicians Network LLC Urology CurrentSince Apr 1, 2021 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Sep 30, 2017 Accepting new patients
Novant Health Medical Group, LLC Urology CurrentSince Nov 19, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 8, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 28, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 19, 2022 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Jan 1, 2006 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Urology CurrentSince Jul 22, 2024 Accepting new patients
NMG Health Services LLC CurrentSince Jun 16, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Urology CurrentSince Jun 16, 2023 Accepting new patients
DLP Western Carolina Physician Practices LLC Urology CurrentSince Sep 30, 2017 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients
Stone Institute of the Carolinas LLC Urology PastSince Apr 1, 1990 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

15 Brettwood Trce
Clyde, NC 28721
Phone (828) 452-3992

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1730 Kernersville Medical Pkwy
Ste 303
Kernersville, NC 27284
Phone (336) 564-4430

106 W Medical Park Dr
Ste A
Lexington, NC 27292
Phone (336) 248-4413

441 McAlister Rd
Ste 1200
Lincolnton, NC 28092
Phone (980) 212-6200

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4420 Lake Boone Trl
Ste 203
Raleigh, NC 27607
Phone (919) 784-2930

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3009 Medical Plaza Ln
Southport, NC 28461
Phone (910) 454-1234

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1219 Lexington Ave
Ste D
Thomasville, NC 27360
Phone (336) 475-0200

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1814 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 452-3666

2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717

1907 S Hawthorne Rd
Winston Salem, NC 27103

140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: pmarks2900441@carolinashealthcaresystem.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health Thomasville Medical CenterThomasville, NC, CCN 340085 Hospital Corporate Director Jan 1, 2015
Novant Health Behavioral HealthThomasville, NC, CCN 34S085 Hospital Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1720173420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490",
            "telephone_number": "984-215-4111",
            "fax_number": "910-362-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-2930",
            "fax_number": "919-784-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 New Hanover Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035350",
            "country_code": "US",
            "telephone_number": "910-662-8765",
            "fax_number": "910-362-9123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 W Medical Park Dr",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272926853",
            "country_code": "US",
            "telephone_number": "336-248-4413",
            "fax_number": "336-248-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "PHILLIP",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "39444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSC MEDICARE PROVIDER #",
            "identifier": "2150804C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD-NC",
            "identifier": "53944",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953944",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00064804",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PMARKS16563@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "106 W Medical Park Dr",
            "address_2": "SUITE A",
            "city": "Lexington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272926853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmarks214796@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl Ste 203",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.