Active NPI
Joel Kent Phillips, PA
- Physician Assistant
- Duluth, GA
National Provider Identifier
1518367473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3505 Duluth Park LN
Suite 400
Duluth, GA 30096-3201 - Phone
- (678) 597-3180
- Fax
- (678) 597-3181
- NPI assigned
- Aug 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3505 Duluth Park LN
Suite 400
Duluth, GA 30096-3201
Mailing address
3505 Duluth Park LN
Suite 400
Duluth, GA 30096-3201
Phone (678) 597-3180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3505 Duluth Park Lane
BLDG 4 Suite 400
Duluth, GA 30096
3505 Duluth Park LN
Suite 400
Duluth, GA 30096-3203
Phone (678) 597-3180
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Duluth, GA
- NPI 1902957152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1518367473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 DULUTH PARK LN",
"address_2": "SUITE 400",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963201",
"telephone_number": "678-597-3180",
"fax_number": "678-597-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 DULUTH PARK LN",
"address_2": "SUITE 400",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963201",
"telephone_number": "678-597-3180",
"fax_number": "678-597-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JOEL",
"middle_name": "KENT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-28",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.