Derrick D. Phillips, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

029514 Issued in GA

Practice address

3051 Watson Blvd
Suite 525
Warner Robins, GA 31093-8536

Phone

(478) 953-4563

Fax

(478) 953-4683

NPI assigned

Apr 27, 2006

Last updated

Aug 13, 2012By the provider in NPPES

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dphillips@mgo.exscribedirect.com

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.

• Houston Orthopedic Surgery & Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Warner Robins, GA
  • NPI 1205866605
  Medicare reassignment NPD
• Houston Orthopedic Surgery & Sports Medicine, P.C.

  dba Middle Georgia Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Perry, GA
  • NPI 1134563042
  NPD
• Houston Orthopedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Warner Robins, GA
  • NPI 1851595177
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1396702965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD",
            "address_2": "SUITE 525",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938536",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD",
            "address_2": "SUITE 525",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938536",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DERRICK",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "029514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00344627A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Peterson, MT
• Jodi Lynne Pettygrove, FNP
• John Jeremy Pettygrove, DC
• Marc A Phagan, CRNA
• Charles Kenneth Phillips Jr., FNP
• Stacey Phillips, LAPC
• Toniyah Phillips
• Phoenix Center Behavioral Health Services
• Phoenix Center Community Service Board (Phoenix Center BHS)
• Phoenix Center Community Service Board (Phoenix Center BHS)

• Orthopaedic Surgery Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.