DR. JONATHAN GABRIEL ELI-PHILLIPS MD NPI 1417196601

NPI Information

NPI: 1417196601
Provider Name: DR. JONATHAN GABRIEL ELI-PHILLIPS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1341 WALTER REED RD
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 615-3500

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NPI Details

DR. Jonathan Gabriel Eli-phillips, MD is an obstetrics gynecology in Fayetteville, NC with 34 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jonathan Gabriel Eli-phillips, MD NPI is 1417196601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1341 WALTER REED RD
FAYETTEVILLE, NC
ZIP 28304-415
Phone: (910) 615-3500
Fax: (910) 615-3560

The NPI 1417196601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 4/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		234997	NEW YORK	No
2	207V00000X	Obstetrics & Gynecology		2024-01736	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04034680	MEDICAID	NEW YORK
2	J400195165	OTHER	NEW YORK	PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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