Individual provider Active NPI

Emily Teague Philbeck, FNP

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1720502115
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009712 Issued in NC
Practice address
2211 E Franklin Blvd
Ste 100
Gastonia, NC 28054-4985
Phone
(704) 468-0140
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009712 NC
Family Nurse Practitioner 363LF0000X 5009712 NC Primary

Addresses

Primary practice location

2211 E Franklin Blvd
Ste 100
Gastonia, NC 28054-4985

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

420 Park St
Belmont, NC 28012-3393
Phone (704) 631-1820

Other practice location 2

15110 John J Delaney Dr
Ste 200
Charlotte, NC 28277-3544
Phone (704) 302-8100

Other practice location 3

4135 Southstream Blvd
Charlotte, NC 28217-4523
Phone (704) 631-1200

Other practice location 4

675 Memorial Blvd
Ste 100
Concord, NC 28025-2992
Phone (704) 667-7920

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ephilbeck355590@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009712NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ephilbeck355590@carolinashealthcaresystem.direct-ci.com

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1720502115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E FRANKLIN BLVD",
            "address_2": "STE 100",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544985",
            "telephone_number": "704-468-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Park St",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280123393",
            "country_code": "US",
            "telephone_number": "704-631-1820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15110 John J Delaney Dr",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773544",
            "country_code": "US",
            "telephone_number": "704-302-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4135 Southstream Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282174523",
            "country_code": "US",
            "telephone_number": "704-631-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Memorial Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252992",
            "country_code": "US",
            "telephone_number": "704-667-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILBECK",
        "first_name": "EMILY",
        "middle_name": "TEAGUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009712",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ephilbeck355590@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "2211 E Franklin Blvd",
            "address_2": "Ste 100",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280544985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.