Active NPI
Gregory Phillips, M.D.
- Obstetrics & Gynecology Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 202632
- Practice address
- 2508 Bert Kouns Loop
Suite 201
Shreveport, LA 71118-3133 - Phone
- (318) 212-5790
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 202632 | LA | Primary |
Addresses
Primary practice location
2508 Bert Kouns Loop
Suite 201
Shreveport, LA 71118-3133
Mailing address
2508 Bert Kouns Loop
Suite 201
Shreveport, LA 71118-3133
Phone (318) 212-5790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1078964 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in Shreveport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2508 Bert Kouns Industrial Loop
Suite 201
Shreveport, LA 71118-3175
Phone (318) 212-5790
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3119
Phone (800) 967-2289
Hospital & facility affiliations
- Willis Knighton Medical Center
- Christus Shreveport-Bossier Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202632 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Louisiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| WK Womens Health Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Health Center, Apmc | Past | Accepting new patients | |
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients | |
| DRS Hart Carter and Dean Apmc | Past | Accepting new patients |
Locations
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000
2508 Bert Kouns Industrial Loop
Ste 201
Shreveport, LA 71118
Phone (318) 212-5790
Interoperability endpoints
- gphillips@direct.wkhs.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Shreveport, LA
- NPI 1124283320
-
- Specialist
- Bossier City, LA
- NPI 1508822040
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
-
- Specialist
- Alexandria, LA
- NPI 1790869295
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1679784607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 BERT KOUNS LOOP",
"address_2": "SUITE 201",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183133",
"telephone_number": "318-212-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 BERT KOUNS LOOP",
"address_2": "SUITE 201",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183133",
"telephone_number": "318-212-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "GREGORY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "202632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1078964",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.