Phillips Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

049871 Issued in GA

Legal business name

PHILLIPS PEDIATRICS PC

Practice address

455 S Main Street
Ste 101
Hinesville, GA 31313-4354

Phone

(912) 876-6868

Fax

(912) 876-6566

NPI assigned

Dec 5, 2006

Last updated

May 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip O Ajayi, MDNPI 1366769622

Title

Physician/Owner

Phone

(912) 876-6868

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip O Ajayi, M.D.

  • Pediatrics Physician
  • Hinesville, GA
  • NPI 1366769622
  Authorized official Same address or phone
• Brittany Carter, LPC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1457903353
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1144388521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN STREET",
            "address_2": "STE 101",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134354",
            "telephone_number": "912-876-6868",
            "fax_number": "912-876-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN STREET",
            "address_2": "STE 101",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134354",
            "telephone_number": "912-876-6868",
            "fax_number": "912-876-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "912-876-6868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "049871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00936537A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kivetta Peoples
• Jina Perdue
• Amy Elizabeth Perkins-Murphy, LCSW
• Gabrielle Perry
• Vadim Petrov-Kondratov, M.D.
• Donna Bowers Phillips, DDS
• Heidi Lynn Phillips
• Margaret Pietrucha
• Jessica Pimentel, FNP
• Joseph E Pittman, OD

• Pediatrics Physician in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.