Healthcare Provider Details

I. General information

NPI: 1386013662
Provider Name (Legal Business Name): PHEBE ANN DAGROSA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 CURTIS ELLIS DR
ROCKY MOUNT NC
27804-2237
US

IV. Provider business mailing address

5901 PEACHTREE DUNWOODY RD # 350
ATLANTA GA
30328-5382
US

V. Phone/Fax

Practice location:
  • Phone: 828-456-7311
  • Fax: 252-962-3320
Mailing address:
  • Phone: 678-441-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-05971
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-05971
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: