Active NPI
Keith N Phillippi, MD
- Anesthesiology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036845
- Practice address
- 380 Hospital Drive
Suite 410
Macon, GA 31217 - Phone
- (478) 746-5644
- Fax
- (478) 745-4849
- NPI assigned
- Aug 18, 2005
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036845 | GA | Primary |
Addresses
Primary practice location
380 Hospital Drive
Suite 410
Macon, GA 31217
Mailing address
PO Box 2564
Macon, GA 31203
Phone (478) 746-5644
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000553517D | Medicaid | GA | |
| 000553517F | Medicaid | GA | |
| 000553517G | Medicaid | GA | |
| 0553517B | Medicaid | GA | |
| P00390637 | Other | GA | RAILROAD MEDICARE |
| 00553517E | Medicaid | GA | |
| 036845 | Other | GA | GA LICENSE |
| 391004 | Other | GA | WELLCARE |
| 0553517C | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | keith.phillippi@trhs.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Georgia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036845 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tifton Pain Management, P.C. | Anesthesiology | Past | Accepting new patients |
| Tifton Anesthesia Associates, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
1602 Madison Ave
Tifton, GA 31794
Phone (229) 386-4200
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
Interoperability endpoints
- keith.phillippi@trhs.cernerdirect.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
dba Southwell Center for Healing and Wellness
- Family Medicine Physician
- Tifton, GA
- NPI 1124679014
-
dba Tift Regional Ophthalmology
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
- Anesthesiology Physician
- Tifton, GA
- NPI 1710964614
-
- Pain Medicine (Anesthesiology) Physician
- Tifton, GA
- NPI 1467439364
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1043202633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2564",
"city": "MACON",
"state": "GA",
"postal_code": "31203",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 HOSPITAL DRIVE",
"address_2": "SUITE 410",
"city": "MACON",
"state": "GA",
"postal_code": "31217",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPPI",
"first_name": "KEITH",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2026-09-29",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "036845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000553517D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000553517F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000553517G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0553517B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00390637",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00553517E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSE",
"identifier": "036845",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "391004",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0553517C",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "keith.phillippi@trhs.cernerdirect.com",
"affiliation": "N",
"address_1": "901 18th St E",
"city": "Tifton",
"state": "GA",
"country_code": "US",
"postal_code": "317943648",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.