Active NPI
Phillip Glenn Marks, M.D.
- Urology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 39444
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2150804C | Other | NC | PSC MEDICARE PROVIDER # |
| 53944 | Other | NC | BLUE CROSS/BLUE SHIELD-NC |
| 8953944 | Medicaid | NC | |
| P00064804 | Other | NC | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCThe Charlotte-Mecklenburg Hospital Authority
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
- Atrium Health Cleveland
- Carolinas Medical Center-Northeast
- Haywood Regional Medical Center
- Pender Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39444 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc | Urology | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Unc Physicians Network LLC | Urology | Current | Accepting new patients |
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Urology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Piedmont Stone Center PLLC | Urology | Current | Accepting new patients |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Urology | Current | Accepting new patients |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Urology | Current | Accepting new patients |
| DLP Western Carolina Physician Practices LLC | Urology | Current | Accepting new patients |
| New Hanover Medical Group PA | Past | Accepting new patients | |
| Stone Institute of the Carolinas LLC | Urology | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Novant Health Thomasville Medical Center | Hospital | Corporate Director | Jan 1, 2015 |
| Novant Health Behavioral Health | 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.
-
- Psychiatric Hospital Unit
- Thomasville, NC
- NPI 1710938949
Corporate Director
-
- General Acute Care Hospital
- Thomasville, NC
- NPI 1801848767
Corporate Director
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.
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
NC
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
NC, Urology
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1982280285
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
Hospital
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Burgaw, NC
- NPI 1780653865
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
Hospital
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.