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PHILLIPS INTERNAL MEDICINE
NPI 1154436012
Internal Medicine in Elizabethtown, NC

Active since August 20, 2006
507 DOCTOR'S DRIVE, ELIZABETHTOWN, NC 28337(910) 862-3212(910) 862-2263 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phillips Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIPS INTERNAL MEDICINE (NPI 1154436012) is a healthcare organization registered as an internal medicine in Elizabethtown, North Carolina and active in the NPI registry since August 2006. The organization lists Ayub Ibrahim, Reimbursement Director, as its authorized official.

NPPES Registry Identity

NPI1154436012
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLADEN HEALTHCARE LLC
Location Address507 DOCTOR'S DRIVEElizabethtown, NC 28337
Mailing AddressPo Box 398Elizabethtown, NC 28337-0398 · (910) 862-3212 · Fax (910) 862-2263
Phone(910) 862-3212
Fax(910) 862-2263
Organization SubpartYes
Authorized OfficialAyub IbrahimReimbursement Director · (910) 615-6994
Enumeration DateAugust 20, 2006
Last NPPES UpdateJanuary 13, 2010
✔ NPI 1154436012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 15560
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
507 DOCTOR'S DRIVE, Elizabethtown, NC 28337
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Other Names 1

Doing Business AsPhillips Internal Medicine

Other Identifiers 4

Medicaid8967555NC
Medicare PIN2351500NC
Medicare PIN201418NC
Medicare UPIND26803

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillips Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

170

Medicare enrollment records show 170 clinicians reassign Medicare billing to Phillips Internal Medicine, which bills Medicare for the services they deliver. Of these, 27 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Internal Medicine50
Nurse Practitioner25
Certified Registered Nurse Anesthetist (CRNA)21
Family Practice20
Hospitalist20
Diagnostic Radiology12
Obstetrics/Gynecology7
Pediatric Medicine5
7 other specialties10

Nearest to this location (20)

See all 170
Sidrah Ghaffar, DO
Hospitalist
NPI 1528625548
501 S POPLAR ST
Elizabethtown, NC 28337
(910) 862-5100
✔ PECOS✔ Accepts Medicare0.1 mi
Bobbili Williams, MD
Internal Medicine
NPI 1861506412
501 S POPLAR ST
Elizabethtown, NC 28337
(910) 862-5100
✔ PECOS0.1 mi
William Beutel, M.D.
General Surgery
NPI 1073559654
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-1272
✔ PECOS✔ Accepts Medicare0.2 mi
Shelley Brown, NP-C
Nurse Practitioner
NPI 1437449733
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Kathryn Carter, FNP-BC
Nurse Practitioner
NPI 1861264897
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Amber Eddy, AGNP
Nurse Practitioner
NPI 1336845346
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Ashley Graham Jones, FNP-C
Nurse Practitioner
NPI 1578240644
300F E MCKAY ST
Elizabethtown, NC 28337
(910) 862-6672
✔ PECOS✔ Accepts Medicare0.2 mi
Pearly Graham-Hoskins, MD
Internal Medicine
NPI 1396834529
300A EAST MCKAY STREET
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS0.2 mi
Olajumoke Ladapo, MD
Family Practice
NPI 1033746292
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Ashley Marlowe, FNP
Nurse Practitioner
NPI 1063764413
300 E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Benjamin Mcmillan, NP
Nurse Practitioner
NPI 1780016915
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-8677
✔ PECOS0.2 mi
Robert Rich, MD
Family Practice
NPI 1225127459
300A EAST MCKAY STREET
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Shakonda Strayhorn, M.D.
Obstetrics/Gynecology
NPI 1649463829
300F E MCKAY ST
Elizabethtown, NC 28337
(910) 862-6672
✔ PECOS✔ Accepts Medicare0.2 mi
Nancy Tyndall, FNP-C
Nurse Practitioner
NPI 1467174102
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-8677
✔ PECOS0.2 mi
Jose Vergara, M.D.
Internal Medicine
NPI 1194796920
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Barry Williamson, MD
General Surgery
NPI 1538119482
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-1272
✔ PECOS✔ Accepts Medicare0.2 mi
Kathleen Heer, D.O.
Obstetrics/Gynecology
NPI 1770567802
300 E MCKAY ST STE F
Elizabethtown, NC 28337
(910) 862-6672
✔ PECOS✔ Accepts Medicare0.6 mi
Angie Lowry, FNP
Nurse Practitioner
NPI 1982902771
300A E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.6 mi
Chidebe Udeozo, MD
Family Practice
NPI 1316112105
300 E MCKAY ST
Elizabethtown, NC 28337
(910) 862-5500
✔ PECOS✔ Accepts Medicare0.6 mi
Ronald Cottle, MD
Family Practice
NPI 1558334201
103 S OWEN ST
Elizabethtown, NC 28337
(910) 862-2900
✔ PECOS✔ Accepts Medicare0.6 mi
See all 170 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bladen Healthcare LLC's NPI number?

The NPI number for Bladen Healthcare LLC is 1154436012. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Phillips Internal Medicine.

Where is Bladen Healthcare LLC located?

Bladen Healthcare LLC is located at 507 Doctor's Drive, Elizabethtown, NC 28337. The listed phone number is (910) 862-3212.

What is Bladen Healthcare LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bladen Healthcare LLC enrolled in Medicare?

Yes. Bladen Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bladen Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 170 clinicians in 15 Medicare specialties reassign their Medicare billing to Bladen Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (50), Nurse Practitioner (25) and Certified Registered Nurse Anesthetist (CRNA) (21). Of these, 27 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bladen Healthcare LLC was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.