Wesley F Phillips, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13524 Issued in NC

Practice address

2800 Darrow Rd
Walkertown, NC 27051-9206

Phone

(336) 595-3699

Fax

(336) 595-3193

NPI assigned

Mar 24, 2006

Last updated

Feb 15, 2013By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1871553917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-595-3699",
            "fax_number": "336-595-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 DARROW RD",
            "city": "WALKERTOWN",
            "state": "NC",
            "postal_code": "270519206",
            "telephone_number": "336-595-3699",
            "fax_number": "336-595-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "WESLEY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "13524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967675",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy # 01218)
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC (Novant Health Forsyth Pediatrics)
• Courtney Laura Pegram, RPH
• Natalie Phe, RRT
• Cassandra Braddock Pope, PHARMD
• John Richardson
• Jeremiah Timothy Roark, PHARMD. RPH.
• Deana Smalls, PHARM.D.
• Brian Scott Smith, B.S. PHARM-D

• Family Medicine Physician in Walkertown, NC
• Providers in Walkertown, 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 Feb 15, 2013; 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.