Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Stephen Phillips, PA-C

Individual provider Physician Assistant · NPI 1336633106

Mark Stephen Phillips, PA-C is a Physician Assistant in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2018, 8 years ago. Practices with Bethany Medical Center, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

160 Kimel Forest Dr Ste 100
Winston Salem, NC 27103-6084
Phone: (336) 883-0029
Fax: (336) 283-6518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5093 University Pkwy, Winston Salem, NC 27106-6085 — (336) 883-0029

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08167 (NC)

Record details

NPI number1336633106
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Bethany Medical Center — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Winston Salem