Individual provider Active NPI

David J Phillips, MD

  • Internal Medicine Physician
  • Hixson, TN
National Provider Identifier
1497730212
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27286 Issued in TN
Practice address
2051-B Hamill Road
Suite 103
Hixson, TN 37343-4653
Phone
(423) 756-8871
Fax
(423) 475-8976
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27286 TN Primary
Hospitalist Physician 208M00000X 27286 TN

Addresses

Primary practice location

2051-B Hamill Road
Suite 103
Hixson, TN 37343-4653

Mailing address

2051-B Hamill Road
Suite 103
Hixson, TN 37343-4653
Phone (423) 756-8871

Other identifiers 1

IdentifierTypeStateIssuer
000722301DMedicaidGA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040117000068 TN Practitioner - Internal Medicine 2163323676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Health Alliance PCGroup PAC ID 7911895412, 11 clinicians

Practice addresses (Care Compare)

725 Glenwood Dr
E480
Chattanooga, TN 37404-1173
Phone (423) 756-5779

Hospital & facility affiliations

  • Commonspirit Health at Home - Chattanooga Home health agency, Chattanooga, TN, CCN 447506
  • Centerwell Home Health Home health agency, Chattanooga, TN, CCN 447495
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27286TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health Alliance PC Internal Medicine CurrentSince Nov 1, 2007 Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients

Locations

979 E 3rd St
Ste 601
Chattanooga, TN 37403
Phone (423) 756-8871

725 Glenwood Dr
Ste E480
Chattanooga, TN 37404
Phone (423) 629-1491

2051 Hamill Rd
Ste 103
Hixson, TN 37343
Phone (423) 756-8871

Organizations & group practices 2

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 5

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1497730212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051-B HAMILL ROAD",
            "address_2": "SUITE 103",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434653",
            "telephone_number": "423-756-8871",
            "fax_number": "423-475-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051-B HAMILL ROAD",
            "address_2": "SUITE 103",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434653",
            "telephone_number": "423-756-8871",
            "fax_number": "423-475-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27286",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "27286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000722301D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.