Individual ProviderJohn D PhippsInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address105 Vest Mill Cir, Suite 201, Winston Salem, NC 27103-2943(336) 718-7800(336) 765-0020PECOS EnrollmentBased on the most recent information from CMS, provider John D Phipps does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1447210620Provider TypeIndividualFull NamePhipps, John DCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/23/2006Last Updated2/16/2016Contact InformationPractice LocationPractice Address105 Vest Mill Cir, Suite 201, Winston Salem, NC 27103-2943Phone(336) 718-7800Fax(336) 718-7900Mailing LocationMailing AddressPO Box 751803, Charlotte, NC 28275-1803Phone(336) 765-0020Fax(336) 765-0581Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense9501058North CarolinaCode207RE0101XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense9501058North CarolinaProvider IdentifiersIDDescriptionIssuerID10156424DescriptionMedicaidIssuerUnlistedVirginiaID891139ADescriptionMedicaidIssuerUnlistedNorth Carolina