Gregory Phillips, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

442 Issued in NC

Practice address

337 S White St
Wake Forest, NC 27587-2916

Phone

(919) 554-0711

Fax

(919) 554-1185

NPI assigned

Oct 16, 2006

Last updated

Apr 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Foot & Ankle Specialists, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Wake Forest, NC
  • NPI 1568631448
  NPD (past)
• Advanced Foot & Ankle Specialists, PLLC

  • Podiatrist
  • Wake Forest, NC
  • NPI 1598718116
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1770663635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S WHITE ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872916",
            "telephone_number": "919-554-0711",
            "fax_number": "919-554-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S WHITE ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872916",
            "telephone_number": "919-554-0711",
            "fax_number": "919-554-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GREGORY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "442",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "08099",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Tsvetanov Petkov
• Jeremy Phan, MS
• Shawn P Phelan, D.O.
• Stephanie Leeanne Phelps
• Philip D. Burton M.D. PLLC
• Margaret Faye Bergin Phillips, MA, CCC-SLP
• Phoenix and Oak Counseling
• Physical Therapy @ Home LLC
• Physiofit of North Carolina (PhysioFit)
• Farrah G Pickett, PHARM.D.

• Foot & Ankle Surgery Podiatrist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.