Active NPI
Philip N Collis, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 64869
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100299100 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Whitesburg Arh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.15 of 100
- Quality
- 47.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Hazard, KY
- NPI 1205400421
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whitesburg, KY
- NPI 1194723726
-
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
Hospital
-
- General Acute Care Hospital
- Hazard, KY
- NPI 1609869916
-
- Multi-Specialty Clinic/Center
- Whitesburg, KY
- NPI 1821204199
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.