Emily Nan Phillips, PA-C
Individual provider Active NPI Medical Physician Assistant · Rockingham, NC
NPI 1992779466 · NPPES record last updated Feb 17, 2009
Key facts
- NPI
- 1992779466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 001000398 (NC)
- Practice address
- 125 Biltmore Dr
Suite #2
Rockingham, NC 28379-4994 - Phone
- (910) 895-6650
- Fax
- (910) 895-6682
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- FHPG LLC
Practice addresses (Care Compare)
7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115
921 S Long Dr
Suite 101
Rockingham, NC 28379-4874
Phone (910) 417-3850
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 79.14
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 80.32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060406000482 | NC | Practitioner - Physician Assistant | 1254340011 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001000398 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHPG, LLC | Family Medicine | Current |
Accepting new patients |
| FHPG, LLC | Family Medicine | Current |
Accepting new patients |
| FHPG, LLC | Family Medicine | Past | Accepting new patients |
| Sandhills Internal Medicine Clinic, PA | Past | Accepting new patients | |
| Hamlet Hma Physician Management, LLC | Family Medicine | Past | Accepting new patients |
Locations
921 S Long Dr
Ste 101
Rockingham, NC 28379
Phone (910) 417-3850
Interoperability endpoints
- ephillips17434@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001000398 | NC | Yes |
Addresses
Primary practice location
125 Biltmore Dr
Suite #2
Rockingham, NC 28379-4994
Mailing address
PO Box 1446
Rockingham, NC 28380-1446
Phone (910) 895-6650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401PA | Medicaid | SC | |
| 2765996A | Other | NC | MEDICARE |
Other providers in Rockingham, NC
- John Anthony Payne
- Stacey Pearson
- Perfect Balance Therapeutic Massage
- Joshua Steven Perry
- Tyronda Rochelle Pettigrew
- Melissa Lynn Phillips
- Jennifer Phu
- Pinehurst Surgical Clinic PA
- Pines Quick Care & Family Medicine P.a.
- Pinnacle Family Services of North Carolina LLC
All providers in Rockingham, NC · Medical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.