Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013032879 Individual Practitioner Female Practitioner

Joan Shelton Phillips , FNP-BC

Nurse Practitioner • Supply, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Joan Phillips, FNP-BC is a certified Nurse Practitioner practicing in Supply, NC. With approximately 20 years of clinical experience since completing medical education in 2006, Joan Phillips delivers high-quality medical care to the local community at 13 MEDICAL CAMPUS DR NW STE 102.

Joan Phillips is affiliated with Family Ties Of Brunswick, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

13 Medical Campus Dr Nw Ste 102

Supply, NC 284624093

Telephone 9107545988
Fax 9107545989
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Supply, NC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +6.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Supply, NC (4565 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillips (20 Years) 20 Yrs
Supply Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-03-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5002927

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NC 0050-02927

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7004010 (NC)
Commercial Insurance / Payer ID Ptan
2592928

Hospital & Practice Group Affiliations

Family Ties Of Brunswick, Llc

5320 Bridgers Rd, Shallotte, NC 284704737

Phone: 9107544097

Secondary Practice Locations

951 Rockford St

Mount Airy, NC 270305323

Phone: 3367197993

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Jonathan Lamphier , MD

Internal Medicine - Gastroenterology

NPI 1013984244

Doctor of Medicine (M.D.)

Dr. Frank Holt , MD

Internal Medicine - Gastroenterology

NPI 1124028014

Doctor of Medicine (M.D.)

Dr. Allan Andrews , MD

Internal Medicine - Gastroenterology

NPI 1225199409

Doctor of Medicine (M.D.)

Dawn Harrison , FNP

Nurse Practitioner - Family

NPI 1346319282

Family Nurse Practitioner

Dr. William Futch , MD

Internal Medicine - Gastroenterology

NPI 1548216757

Doctor of Medicine (M.D.)

Jennifer Thomas , FNP-C

Nurse Practitioner

NPI 1720545130

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 02, 2023

Registered at 13 MEDICAL CAMPUS DR NW STE 102, SUPPLY, NC 284624093 (Tel: 9107545988)

📍
Updated Business Mailing Address March 02, 2023

Registered at PO BOX 60447, CHARLOTTE, NC 282600447

NPI Profile Active December 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2011

Registered at 951 ROCKFORD ST, MOUNT AIRY, NC 270305323 (Tel: 3367197993)

📍
Updated Business Mailing Address December 29, 2011

Registered at 951 ROCKFORD ST, MOUNT AIRY, NC 270305323 (Tel: 3367197993)

👤
Provider Name / Credentials Updated December 29, 2011

Recorded as JOAN PHILLIPS, FNPBC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2011

Nurse Practitioner (License #0050-02927 in NC)

🟢
Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Joan Phillips. Be the first to share your experience!

Sign in to leave a review for Joan Phillips

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013032879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: March 02, 2023
Sole Proprietor: No

Mailing Address

Po Box 60447

Charlotte, NC 282600447

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.