Individual provider Active NPI

Philip N Collis, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hermitage, TN
National Provider Identifier
1407147176
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
64869 Issued in TN
Practice address
302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391
Phone
(615) 391-4545
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 47738 KY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 64869 TN Primary

Addresses

Primary practice location

302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391

Mailing address

200 Medical Center Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

Other practice location 1

86 W Underwood St
Suite 201
Orlando, FL 32806-1110
Phone (321) 841-5142

Other practice location 2

200 Medical Center Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

Other practice location 3

825 2nd Ave Ste C2
Bowling Green, KY 42101-1791
Phone (270) 780-2723

Other identifiers 1

IdentifierTypeStateIssuer
7100299100MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philipcollis@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20141215002205 KY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5496078883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

102 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 435-7200

110 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 487-7902

181 Roy Campbell Dr
Hazard, KY 41701-9407
Phone (606) 439-1316

200 Medical Ctr Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

214 Hospital Rd
Whitesburg, KY 41858-7627

240 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3500

Hospital & facility affiliations

  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Whitesburg Arh Hospital Hospital, Whitesburg, KY, CCN 180002

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Mar 14, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Mar 14, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

214 Hospital Rd
Ste A
Whitesburg, KY 41858
Phone (606) 633-2255

Interoperability endpoints

  • Direct secure messaging: philipcollis@arh.medalliesdirect.net

Organizations & group practices 4

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 6

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1407147176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762391",
            "telephone_number": "615-391-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 W Underwood St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-841-5142",
            "fax_number": "407-648-3686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019466",
            "country_code": "US",
            "telephone_number": "606-487-7510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 2nd Ave Ste C2",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011791",
            "country_code": "US",
            "telephone_number": "270-780-2723",
            "fax_number": "270-780-2755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIS",
        "first_name": "PHILIP",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "47738",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "64869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100299100",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philipcollis@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "200 Medical Center Dr",
            "city": "Hazard",
            "state": "KY",
            "country_code": "US",
            "postal_code": "417019466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.