Dan M Phillips, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

39060 Issued in NC

Practice address

406 US 1 Hwy Ste a
Youngsville, NC 27596-7847

Phone

(919) 679-1880

Fax

(800) 507-0902

NPI assigned

Feb 8, 2007

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Emergency Medicine Physicians of Craven County, PLLC

  • Emergency Medicine Physician
  • New Bern, NC
  • NPI 1164462586
  NPD (past)
• Emergency Medicine Physicians of Davidson County, PLLC

  • Emergency Medicine Physician
  • Lexington, NC
  • NPI 1629017504
  NPD (past)
• Emergency Medicine Physicians of Gaston County, PLLC

  • Emergency Medicine Physician
  • Gastonia, NC
  • NPI 1003855941
  NPD (past)
• Emergency Medicine Physicians of Lenoir County PLLC

  • Emergency Medicine Physician
  • Kinston, NC
  • NPI 1518906478
  NPD (past)
• Emergency Medicine Physicians of Pasquotank County, PLLC

  • Emergency Medicine Physician
  • Elizabeth City, NC
  • NPI 1205875267
  NPD (past)
• Emergency Medicine Physicians of Kanawha County, PLLC

  • Emergency Medicine Physician
  • South Charleston, WV
  • NPI 1326087289
  NPD (past)
• Emergency Medicine Physicians of Ohio County, PLLC

  • Emergency Medicine Physician
  • Wheeling, WV
  • NPI 1093754954
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1871633768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 SHADY OAK RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275749051",
            "telephone_number": "336-322-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 US 1 HWY STE A",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967847",
            "telephone_number": "919-679-1880",
            "fax_number": "800-507-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "39060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967602",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priya Patel, OD
• Kelly Pearce Moore, RN
• Jessica Pegram, LCSWA
• Tyrese Leon Perry
• Angela Phan, MA, LPA
• Tanya Donnella Pleasent
• Polaris Rehabilitation, LLC
• Powerful Purpose Psychological & Support Services PLLC
• Primus Home Health Solutions LLC
• Private Diagnostic Clinic, PLLC

• Emergency Medicine Physician in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.