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

Tate Johnathan Phillips, PA

Individual provider Physician Assistant · NPI 1861269359

Tate Johnathan Phillips, PA is a Physician Assistant in North Wilkesboro, North Carolina. Qualified in 2023, 3 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2
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

1370 W D St
North Wilkesboro, NC 28659-3506
Phone: (336) 651-8294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4184 Stonecrest Dr Apt 108, Burlington, NC 27215-7830 — (260) 446-1810

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14029 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1861269359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in North Wilkesboro