Individual provider

Alexis Eccleston, DO

Emergency Medicine Physician Medicare enrolled

Alexis Eccleston, DO is an Emergency Medicine Physician in Jacksonville, NC, registered under NPI 1073043196.

Getting there

The practice address on file is 317 WESTERN BLVD, Jacksonville, NC 28546. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

317 WESTERN BLVD, Jacksonville, NC 28546 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2020-02740 NC Emergency Medicine Physician primary
95641 GA Emergency Medicine Physician

Licences are recorded in 2 states: NC, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
8022388545

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
North Carolina I20200819001249 Practitioner - Emergency Medicine
Georgia I20230717000737 Practitioner - Emergency Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. There are 2 separate enrolment records across 2 states (NC, GA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and North Carolina. The practice address on file is in Jacksonville, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia
Licence
95641
Specialty
Emergency Medicine Physician
Verify with the GA board →
NC North Carolina practice address
Licence
2020-02740
Specialty
Emergency Medicine Physician
Verify with the NC board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Emergency Medicine covers

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
Allopathic & Osteopathic Physicians Emergency Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207P00000X Emergency Medicine Physician 2020-02740 NC primary
207P00000X Emergency Medicine Physician 95641 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1073043196 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 13, 2017
Last updatedJun 10, 2025
StatusActive
Sole proprietorNo
CredentialDO
Practice address 317 WESTERN BLVD
Jacksonville, NC 28546
(910) 577-2345
Mailing address 1119 TREYBROOKE CIR
Greenville, NC 27834
This record was updated on Jun 10, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1073043196 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 0 4 3 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 0 4 6 1 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073043196?
NPI 1073043196 is the National Provider Identifier assigned to Alexis Eccleston, DO in Jacksonville, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medicine Physician cover?
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care…
How do I contact Alexis Eccleston, DO?
The phone number on file with NPPES is (910) 577-2345, last updated Jun 10, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Alexis Eccleston, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1073043196 a valid number?
Yes. 1073043196 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.