NPIMap

Individual provider Active NPI

Emily Nan Phillips, PA-C

  • Medical Physician Assistant
  • Rockingham, NC
National Provider Identifier
1992779466
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001000398 Issued in 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
Last updated
Feb 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001000398 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000482 NC Practitioner - Physician Assistant 1254340011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
79.14
Promoting interoperability
92
Improvement activities
40
Cost
80.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001000398NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Sandhills Internal Medicine Clinic, PA Past Accepting new patients
FHPG, LLC Family Medicine 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

  • Direct secure messaging: ephillips17434@firsthealth.direct-ci.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1992779466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283801446",
            "telephone_number": "910-895-6650",
            "fax_number": "910-895-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BILTMORE DR",
            "address_2": "SUITE #2",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794994",
            "telephone_number": "910-895-6650",
            "fax_number": "910-895-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EMILY",
        "middle_name": "NAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001000398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.