NPIMap

Individual provider Active NPI

Stephanie Davis Phillips, NP-C

  • Family Nurse Practitioner
  • Colquitt, GA
National Provider Identifier
1497018840
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN183566 Issued in GA
Practice address
208 N Cuthbert St
Colquitt, GA 39837-3517
Phone
(229) 758-3304
Fax
(229) 758-6622
NPI assigned
Jun 20, 2012
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN183566 GA Primary

Addresses

Primary practice location

208 N Cuthbert St
Colquitt, GA 39837-3517

Mailing address

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-3385

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephaniephillips@hamc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020002419 GA Practitioner - Nurse Practitioner 8022239821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

208 N Cuthbert St
Colquitt, GA 39837-3517
Phone (229) 758-4212

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-4212

PO Box
Suite 7
Colquitt, GA 39837

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
76.8
Promoting interoperability
100
Improvement activities
40
Cost
48.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN183566GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
The Hospital Authority of Miller County CurrentSince Mar 18, 2022 Accepting new patients
The Hospital Authority of Miller County Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

208 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3304

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

Interoperability endpoints

  • Direct secure messaging: stephaniephillips@hamc.cernerdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1497018840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-758-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373517",
            "telephone_number": "229-758-3304",
            "fax_number": "229-758-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STEPHANIE",
        "middle_name": "DAVIS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN183566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephaniephillips@hamc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Hospital Authority of Miller County Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "209 N Cuthbert St",
            "city": "Colquitt",
            "state": "GA",
            "country_code": "US",
            "postal_code": "398373518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colquitt, GA

Sources for this page

Verify at the official NPI Registry.