Megan Latimer Phillips, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2570 Issued in TN

Practice address

701 Medical Park Dr
Humboldt, TN 38343-3034

Phone

(731) 784-4300

NPI assigned

Jul 31, 2014

Last updated

Jan 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Latimer Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: mphillips@directaddress.net

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.

• Levy Dermatology, PC

  • Dermatology Physician
  • Germantown, TN
  • NPI 1508007790
  Medicare reassignment
• Dr. Adam T Keres LLC.

  • Chiropractor
  • Memphis, TN
  • NPI 1376738351
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1467860668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RACHEL DR APT 7",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MEDICAL PARK DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433034",
            "telephone_number": "731-784-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MEGAN",
        "middle_name": "LATIMER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LATIMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Otter Therapy and Vocational Services (Otter with Barb)
• Antoinette Deshawn Parham
• Tammy Marisa Patton, LCSW, ED.D
• Justin Perry
• Sandi Peterson, COTA/L
• Brent Pierce, PHARMD.
• Michael Blaine Potts
• Allie Renee Privitt
• Professional Eyecare Associates and Optical PLLC
• Purihin Clinic-P. C.

• Physician Assistant in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.