Phillip R Ingram Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43217 Issued in AL

Practice address

902 W Washington St
Athens, AL 35611-2438

Phone

(256) 216-9777

NPI assigned

Apr 13, 2020

Sex

Male

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

Enrolled in AL

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

Specialty

Family Practice

Education

University of Alabama School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waddell Center Family MedicineGroup PAC ID 3577832542, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Waddell Center Family Medicine

  • Family Medicine Physician
  • Athens, AL
  • NPI 1104353226
  Medicare reassignment Care Compare group NPD
• Waddell Center Family Medicine

  • Family Medicine Physician
  • Athens, AL
  • NPI 1003006289
  NPD (past)

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

• HH Health System - Athens Limestone, LLC

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1255950994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W WASHINGTON ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W WASHINGTON ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112438",
            "telephone_number": "256-216-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "PHILLIP",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "43217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Edward Hubbard Jr., LICSW
• William Phillip Humphrey, RPH, CCP
• Julia Tye Hutt, CRNP
• Hannah Belue Hyde, ALC
• Angel Ignacio Ibanez
• Cassie Coulter Ingrum, NP-C
• Island Medical Athens LLC
• Austin Zeke Jackson, PHARMD.
• Cerra Jordan Jackson, CRNP
• Leigh Ann Jackson

• Family Medicine Physician in Athens, AL
• Providers in Athens, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.