Individual provider Active NPI

Debra Brown Phillips, CRNP

  • Acute Care Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1316456726
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-097477 Issued in AL
Practice address
2828 Highway 31 S
Decatur, AL 35603-1538
Phone
(256) 353-2000
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 1-097477 AL
Acute Care Nurse Practitioner 363LA2100X 1-097477 AL Primary

Addresses

Primary practice location

2828 Highway 31 S
Decatur, AL 35603-1538

Mailing address

199 County Road 1294
Cullman, AL 35058-0309
Phone (256) 338-6522

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
I20180507000567 AL Practitioner - Nurse Practitioner 3678837218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Med-Surg Clinic, LLCGroup PAC ID 7618996620, 4 clinicians

Practice addresses (Care Compare)

2828 Hwy 31 S
Decatur, AL 35603-1538
Phone (256) 353-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-097477ALMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Med-Surg Clinic, LLC CurrentSince Dec 3, 2017 Accepting new patients

Locations

2828 Highway 31 S
Ste 101
Decatur, AL 35603
Phone (256) 309-5627

2828 Highway 31 S
Decatur, AL 35603
Phone (256) 340-1212

Organizations & group practices 1

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1316456726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COUNTY ROAD 1294",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580309",
            "telephone_number": "256-338-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-353-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEBRA",
        "middle_name": "BROWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "AL",
            "license": "1-097477",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-097477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.