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MR. EVAN JOSEPH PHILLIPS PA-C
NPI 1306651179
Physician Assistant in Fayetteville, NC

Active since February 10, 2025PECOS Enrolled
2109 VALLEYGATE DR STE 201, FAYETTEVILLE, NC 28304(910) 339-8475(910) 339-9426 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Feb 12, 2025 (2 updates tracked since 2025).

About Mr. Evan Joseph Phillips Pa-c NPPES

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

MR. EVAN JOSEPH PHILLIPS PA-C (NPI 1306651179) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-14994) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306651179
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. EVAN JOSEPH PHILLIPSCredential: PA-C
Location Address2109 VALLEYGATE DR STE 201Fayetteville, NC 28304-3571
Mailing Address309 E E StErwin, NC 28339-2131 · (919) 795-2327 · Fax (910) 339-9426
Phone(910) 339-8475
Fax(910) 339-9426
Sole ProprietorNo
Enumeration DateFebruary 10, 2025
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1306651179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-14994
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2109 VALLEYGATE DR STE 201, Fayetteville, NC 28304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Evan Joseph Phillips Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HAZEL ANN SY ANG-TIPA
Nurse Practitioner (Gerontology)
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 486-8880
ANDREA KISHBAUGH FNP-C
Nurse Practitioner (Family)
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 486-8880
MRS. DENISE BUSBIN LOCKLEAR PA-C
Physician Assistant
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 486-8880

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 Evan Phillips's NPI number?

The NPI number for Evan Phillips is 1306651179. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Evan Phillips located?

Evan Phillips practices at 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304. The listed phone number is (910) 339-8475.

What is Evan Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Evan Phillips enrolled in Medicare?

Yes. Evan Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Phillips was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.