Karynthia A Phillips, MSM,PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA841 Issued in TN

Practice address

2275 Murfreesboro Pike
Suite 109-110
Nashville, TN 37217-3341

Phone

(615) 833-6898

Fax

(615) 833-6895

NPI assigned

Sep 15, 2005

Last updated

Nov 15, 2012By the provider in NPPES

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

Other identifiers 12

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agapee Surgical Associates Inc.

  • Surgery Physician
  • Madison, TN
  • NPI 1891782637
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1174518104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 MURFREESBORO PIKE",
            "address_2": "SUITE 109-110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173341",
            "telephone_number": "615-833-6898",
            "fax_number": "615-833-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MURFREESBORO PIKE",
            "address_2": "SUITE 109-110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173341",
            "telephone_number": "615-833-6898",
            "fax_number": "615-833-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KARYNTHIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSM,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUE WEST BCBS",
            "identifier": "4044007",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER DUE WEST",
            "identifier": "3669274",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TULLAHOMA BCBS",
            "identifier": "4144463",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36692701",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TULLAHOMA AMERICHOICE",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174518104",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER TULLAHOMA",
            "identifier": "36692701",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4131037",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TULLAHOMA MEDICARE",
            "identifier": "36692701",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3669270",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3669274",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUE WEST BCBS",
            "identifier": "4137131",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Bonner Phillips, MD
• John Gary Phillips, M.D. (MAY 2010)
• Jordan Elizabeth Phillips, M.D.
• Julie Phillips, LCSW
• Julie Reavie Phillips, MSN, CRNP
• Kendra Kierra Phillips
• Kimberly Dawn Phillips, ATC, LAT
• Kristin Lea Phillips, APN
• Laura N Phillips, LCSW
• Lisa A Phillips, MD

• Medical Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.