Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Henry Phillips III, PA

Individual provider Physician Assistant · NPI 1760872808

Mr. Charles Henry Phillips III, PA is a Physician Assistant in North Wilkesboro, North Carolina. Qualified in 2014, 12 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in Montana, North Carolina and Virginia.

Years since qualifying
12
Licensed in
MT, NC, VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1915 W Park Dr Ste 103
North Wilkesboro, NC 28659-3777
Phone: (336) 838-9553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05417 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0110005603 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 41019 (MT)

Record details

NPI number1760872808
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 28, 2015
Last updated in NPPESFebruary 15, 2026
Certification dateFebruary 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in North Wilkesboro