Bobbi Amber Phillips

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN227968 Issued in GA

Practice address

215 E 13TH Ave
Cordele, GA 31015-4249

Phone

(229) 276-0100

Fax

(229) 276-0300

NPI assigned

Sep 13, 2019

Last updated

Sep 13, 2019By 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

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

QSM-Ga, IncGroup PAC ID 3779842729, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• QSM-Ga, Inc

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356852123

  Family

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1346890241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 EISENHOWER RD",
            "city": "REBECCA",
            "state": "GA",
            "postal_code": "317833323",
            "telephone_number": "229-325-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 13TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154249",
            "telephone_number": "229-276-0100",
            "fax_number": "229-276-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BOBBI",
        "middle_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Patel, PHARM D
• Taylor M Pearson, MED, CCC-SLP
• Claudeshia Pertilla, CCC-SLP
• William Arthur Pflueger, O.D.
• Kethia Phelizor, DO
• Larisa Phillips
• Sandy Pierce
• Sharon Nichols Pierce, CNM, MSN
• Yolanda Teresa Pierce, ACNPC-AG
• Andrew James Pless Jr., PHARM D

• Family Nurse Practitioner in Cordele, GA
• Providers in Cordele, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.