Georgia M Phillips, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10313 Issued in TX

Practice address

2424 Village Dr
Brownsville, TX 78521-1432

Phone

(956) 982-8578

Fax

(956) 982-8741

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Georgia M Phillips CCC SLP LLC

  • Speech-Language Pathologist
  • Brownsville, TX
  • NPI 1235517400
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1366468050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 VILLAGE DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211432",
            "telephone_number": "956-982-8578",
            "fax_number": "956-982-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 VILLAGE DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211432",
            "telephone_number": "956-982-8578",
            "fax_number": "956-982-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GEORGIA",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161372101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabel Petrarca, LVN
• Lyn Petree, APRN
• Roselle Catherine Pettorino, MD
• PGS Urgent Care PLLC
• Alma Ramirez Phelipa
• Hugo Alberto Picazo, LCSW
• Alecksander Pineda, PTA
• Michelle Yvonne Pineda, MS CCC-SLP
• Stephanie Nicole Pineda
• Jordan Patrick Pirtle, DDS

• Speech-Language Pathologist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.