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

Mrs. Phedra Elizabeth Hennessee, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1518015247

Mrs. Phedra Elizabeth Hennessee, PHYSICIANASSISTANT is a Physician Assistant in Greensboro, North Carolina. Qualified in 2006, 20 years ago. Practices with Eagle Physicians and Associates PA, a 101-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2007
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Practice location Address checks out

1210 New Garden Rd
Greensboro, NC 27410-2721
Phone: (336) 852-1915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 1210 New Garden Rd, Greensboro, NC 27410-2721 — (336) 852-1915
  • 324 W Wendover Ave Ste 200, Greensboro, NC 27408-8438 — (336) 274-6515
  • 324 W Wendover Ave, Greensboro, NC 27408-8437 — (336) 274-6515
  • 1210 New Garden Rd, Greensboro, NC 27410-2721 — (336) 852-1915
  • 1210 New Garden Road, Greensboro, NC 27410 — (336) 852-1915
  • 1210 New Garden Rd, Greensboro, NC 27410-2721 — (336) 852-1915
  • 1210 New Garden Road, Greensboro, NC 27410 — (336) 852-1915
  • 1210 New Garden Rd, Greensboro, NC 27410-2721 — (336) 852-1915
  • 1210 New Garden Rd, Greensboro, NC 27410-2721 — (336) 852-1915
  • 390 W Salem Ave, Winston Salem, NC 27101-5861 — (336) 721-2375

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02997 (NC)

Record details

NPI number1518015247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESApril 22, 2021
Certification dateApril 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Eagle Physicians And Associates Pa — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Greensboro