Individual provider Active NPI

Semone Phillip, MD

  • Family Medicine Physician
  • Hampton, GA
National Provider Identifier
1083294060
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
100837 Issued in GA
Practice address
1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone
(770) 707-0808
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 100837 GA Primary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NA LA

Addresses

Primary practice location

1058 Bear Creek Blvd
Hampton, GA 30228-1849

Mailing address

311 Hillcrest CT
Hampton, GA 30228-3508
Phone (340) 244-3554

Other practice location 1

3401 North Blvd Ste 200
Baton Rouge, LA 70806-3743
Phone (225) 387-7190

Other practice location 2

311 Hillcrest Ct
Hampton, GA 30228-3508
Phone (340) 244-3554

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016000532 GA Practitioner - Family Practice 9739611757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 914-0116

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC Single Specialty CurrentSince Aug 7, 2024 Accepting new patients
Aylo Health, LLC CurrentSince Aug 7, 2024 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients

Locations

3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016

1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514

1058 Bear Creek Blvd
Hampton, GA 30228
Phone (770) 707-0808

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1083294060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 HILLCREST CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283508",
            "telephone_number": "340-244-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 BEAR CREEK BLVD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281849",
            "telephone_number": "770-707-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 North Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063743",
            "country_code": "US",
            "telephone_number": "225-387-7190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Hillcrest Ct",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302283508",
            "country_code": "US",
            "telephone_number": "340-244-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "SEMONE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "100837",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

Verify at the official NPI Registry.