Individual provider Active NPI

Philip T Olshinski, F.N.P.

  • Family Nurse Practitioner
  • Randleman, NC
National Provider Identifier
1801855143
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200774 Issued in NC
Practice address
608 W Academy St
Randleman, NC 27317-9748
Phone
(336) 495-1001
Fax
(336) 495-1001
NPI assigned
Mar 23, 2006
Last updated
May 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200774 NC Primary

Addresses

Primary practice location

608 W Academy St
Randleman, NC 27317-9748

Mailing address

550 White Oak St
Asheboro, NC 27203-4710
Phone (336) 625-1360

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051022000173 NC Practitioner - Nurse Practitioner 6406872084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Oak Family Physicians PAGroup PAC ID 7911993233, 9 clinicians

Practice addresses (Care Compare)

608 W Academy St
Randleman, NC 27317-1302
Phone (336) 495-1001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200774NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Oak Family Physicians, P.a. Current Accepting new patients
White Oak Family Physicians, PA CurrentSince Jul 18, 2008 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 6, 2016 Accepting new patients
Pinnacle Urgent Care PLLC CurrentSince May 1, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 6, 2016 Accepting new patients
White Oak Family Physicians, PA CurrentSince Jul 18, 2008 Accepting new patients
Lexmedical, Inc Past Accepting new patients
Lexmedical, Inc. Past Accepting new patients

Locations

550 White Oak St
Asheboro, NC 27203
Phone (336) 483-3001

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

1201 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 565-5001

608 W Academy St
Randleman, NC 27317
Phone (336) 495-1001

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/57643

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1801855143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034710",
            "telephone_number": "336-625-1360",
            "fax_number": "336-625-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W ACADEMY ST",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179748",
            "telephone_number": "336-495-1001",
            "fax_number": "336-495-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSHINSKI",
        "first_name": "PHILIP",
        "middle_name": "T",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randleman, NC

Sources for this page

Verify at the official NPI Registry.