Individual provider Active NPI

Zachary Keith Phillips, MD

  • Surgical Physician Assistant
  • Vestavia, AL
National Provider Identifier
1285633263
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.301 Issued in AL
Practice address
5018 Cahaba River Rd
Vestavia, AL 35243-2317
Phone
(205) 397-5200
Fax
(205) 203-9858
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-301 AL
Surgical Physician Assistant 363AS0400X PA.301 AL Primary

Addresses

Primary practice location

5018 Cahaba River Rd
Vestavia, AL 35243-2317

Mailing address

PO Box 370
Fortson, GA 31808-0370

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
I20040506000379 AL Practitioner - Physician Assistant 5193713154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Orthopedic Specialists LLCGroup PAC ID 0547502148, 10 clinicians

Practice addresses (Care Compare)

2709 Legends Pkwy
Prattville, AL 36066-7755
Phone (205) 971-3356

3680 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-3260

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-3356

5018 Cahaba River Rd
Vestavia, AL 35243-2317
Phone (205) 971-3356

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
47.8 of 100Reported as group
Quality
22.97
Promoting interoperability
23
Improvement activities
40
Cost
67.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-301ALMDPhysician Assistant
PA.301ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent'S Orthopedics, PC CurrentSince Dec 16, 2002 Accepting new patients
Uab STV Orthopedics, LLC CurrentSince Dec 16, 2002 Accepting new patients
Alabama Sports Medicine and Ortho Center Past Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients

Locations

2700 10th Ave S
Ste 200
Birmingham, AL 35205
Phone (205) 938-7838

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • Direct secure messaging: zachary.phillips.1@321.direct.athenahealth.com
  • Direct secure messaging: zachary.phillips.1@9954.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1285633263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 CAHABA RIVER RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432317",
            "telephone_number": "205-397-5200",
            "fax_number": "205-203-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ZACHARY",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-301",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.