Phoenix Kids Care PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PHOENIX KIDS CARE PLLC

Practice address

2203 Highway 39 N Ste B
Meridian, MS 39301-2609

Phone

(601) 453-3376

NPI assigned

Sep 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Rachel N Hull, MD

Title

Physician

Phone

(601) 282-8543

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phoenix Kids Care PLLC Doing business as

Locations

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1467176016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 HIGHWAY 39 N STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393012609",
            "telephone_number": "601-453-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 HIGHWAY 39 N STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393012609",
            "telephone_number": "601-453-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX KIDS CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-282-8543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08686521",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Kids Care PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Lee Phillips, DNP PMHNP-BC, FNP-BC
• Douglas Craig Phillips, M.D.
• Leah Denise Phillips, FNP
• Mark T Phillips, M.D.
• Tracy B Phillips, O.D.
• Physician Group
• Sherry Pickens
• Amy Michelle Pigott, PHARMD
• Whitni Lauren Pinkerton, AGACNP
• Courtney Pittman, FNP-BC

• Pediatrics Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.