Phillip Earl Stover, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25447 Issued in NC

Practice address

1501 N Bickett Blvd
Suite G
Louisburg, NC 27549-2178

Phone

(919) 496-1247

Fax

(919) 496-3307

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: phillip.stover.1@11901.direct.athenahealth.com

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.

• Louisburg Hma Physician Management, LLC

  • Internal Medicine Physician
  • Louisburg, NC
  • NPI 1699780551

  Family Medicine

  NPD (past)
• Louisburg PPM LLC

  • Family Medicine Physician
  • Louisburg, NC
  • NPI 1720225691
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1770542318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275490239",
            "telephone_number": "919-496-1247",
            "fax_number": "919-496-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BICKETT BLVD",
            "address_2": "SUITE G",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492178",
            "telephone_number": "919-496-1247",
            "fax_number": "919-496-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "PHILLIP",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Steger, M.ED, LPA # 0794
• Elana Turner Stephens
• Shannon Denise Stephens, PTA
• Steven J. Schwam, M.D, P.a.
• Charles A Stiles, MS, LPC
• William F. Stroud
• Sarah Su, LMFTA
• Tamara Swann
• Sherry L Tabron, MSW, LCSW
• Flemming Caribe Taylor, LCSWA

• Family Medicine Physician in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.