Phillip Timmons (NPI# 1245218288, PAC ID# 7618957002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1245218288 |
| PAC ID by PECOS | 7618957002 |
| Professional Enrollment ID | I20100416000126 |
| Full Name | Phillip Timmons |
| Organization Legal Name | NORTH CAROLINA NEPHROLOGY PA |
| Address |
3031 New Bern Ave Suite 306 Raleigh NC 27610-2989 |
| Phone Number | 9192313966 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244511483 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340114 | REX HOSPITAL |
| 340090 | JOHNSTON HEALTH |
| 340073 | DUKE HEALTH RALEIGH HOSPITAL |
| 340069 | WAKEMED, RALEIGH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 | 9192313966 | NORTH CAROLINA NEPHROLOGY PA |
| Organization Legal Name | NORTH CAROLINA NEPHROLOGY PA |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie L Cornella | Physician Assistant | North Carolina Nephrology Pa | 216 N Bickett Blvd, Suite 5, Louisburg, NC 27549-2473 |
| Vanessa P Deese | Physician Assistant | North Carolina Nephrology Pa | 3604 Bush St, Raleigh, NC 27609-7511 |
| Michael J Casey | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Frederick S Jones | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Karn Gupta | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Deborah B Siler | Nurse Practitioner | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Sammy Moghazi | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Brandy L Mcbryde | Physician Assistant | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Rosanne Harnois | Nurse Practitioner | North Carolina Nephrology Pa | 3604 Bush St, Raleigh, NC 27609-7511 |
| Yolanda Cherry Smith | Nurse Practitioner | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Street Address |
3031 NEW BERN AVE SUITE 306 |
| City | RALEIGH |
| State | NC |
| Zip | 27610-2989 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Casey | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Frederick S Jones | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Karn Gupta | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Deborah B Siler | Nurse Practitioner | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Sammy Moghazi | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Brandy L Mcbryde | Physician Assistant | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Yolanda Cherry Smith | Nurse Practitioner | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Alexis Y Bailey | Physician Assistant | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| So Yoon Jang | Nephrology | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Edeliza C David | Nurse Practitioner | North Carolina Nephrology Pa | 3031 New Bern Ave, Suite 306, Raleigh, NC 27610-2989 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Watson Jr. | Family Medicine | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
| Shelby M Shirley | Nurse Practitioner | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
| Kurt J Ehlert | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Jennifer Clavier Desilver | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Michelle Stiles Deans | Physician Assistant | Wake Specialty Physicians LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Sharyn R Marcisak | Occupational Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Jonathan D Chappell | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Luke William Hudson | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Megan Elizabeth Miller | Nurse Practitioner | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| William Giles | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Find all physicians in zip 27610 | |||
| City | RALEIGH |
| Zip Code | 27610 |
| Specialty | NEPHROLOGY |
| City + Specialty | RALEIGH + NEPHROLOGY |
Please comment or provide details below to improve the information on Phillip Timmons.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.