Individual provider Active NPI

Khadijah Fife Phillips, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1033028816
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP337283 Issued in GA
Practice address
PO Box 441065
Kennesaw, GA 30160-9520
Phone
(516) 782-8988
NPI assigned
Sep 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP337283 GA Primary

Addresses

Primary practice location

PO Box 441065
Kennesaw, GA 30160-9520

Mailing address

PO Box 441065
Kennesaw, GA 30160-9520
Phone (516) 782-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1033028816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441065",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609520",
            "telephone_number": "516-782-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 441065",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609520",
            "telephone_number": "516-782-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFE PHILLIPS",
        "first_name": "KHADIJAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "NP337283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.