Galen Phillips, NP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

906987 Issued in MS

Practice address

7276 Southcrest Pkwy
Southaven, MS 38671-4760

Phone

(662) 349-6577

Fax

(662) 349-6562

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Sidhu Pediatrics, LLC

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1326261843
  NPD (past)
• Sidhu Pediatrics, LLC

  • Pediatrics Physician
  • Senatobia, MS
  • NPI 1336369156
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1093533978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARIS DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512019",
            "telephone_number": "662-822-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7276 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714760",
            "telephone_number": "662-349-6577",
            "fax_number": "662-349-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GALEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "906987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey F Petrides, M.D.
• Blanche Foshee' Petty, APRN
• Pharmcare USA of Memphis, Inc
• Phase2 Labs Mississippi LLC
• Phillips County Transportation
• Samantha Phillips, COTA/L
• Physiotherapy Associates
• Physiotherapy Associates Inc
• Kaylee Pickens, BEHAVIOR TECH
• Lauren Barr Piersall, MD

• Pediatrics Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.