Individual provider Active NPI

Emily Breann Phillips

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1083442396
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2653 Issued in AL
Practice address
5320 US Highway 90 W Service Rd
Mobile, AL 36619
Phone
(251) 666-8232
Fax
(251) 602-5660
NPI assigned
Jul 26, 2024
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2653 AL Primary

Addresses

Primary practice location

5320 US Highway 90 W Service Rd
Mobile, AL 36619

Mailing address

1174 Country Oak Cir
Lucedale, MS 39452-4080
Phone (601) 947-0542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029003656 AL Practitioner - Physician Assistant 4981193927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Family Medical of Mobile LLCGroup PAC ID 1456300672, 5 clinicians

Practice addresses (Care Compare)

5320 Hwy 90 Service Rd
Mobile, AL 36619
Phone (251) 666-8232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2653ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Family Medical of Mobile, LLC CurrentSince Oct 13, 2025 Accepting new patients

Locations

5320 Highway 90 W
Mobile, AL 36619
Phone (251) 602-1667

Interoperability endpoints

  • Direct secure messaging: ephillips214579@directinfirmaryhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1083442396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 COUNTRY OAK CIR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394524080",
            "telephone_number": "601-947-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 US HIGHWAY 90 W SERVICE RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36619",
            "telephone_number": "251-666-8232",
            "fax_number": "251-602-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EMILY",
        "middle_name": "BREANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.