Carl Douglas Phillips Jr., FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN115788-AP06562 Issued in LA

Practice address

109 Yorktown Dr Ste a
Alexandria, LA 71303-3673

Phone

(318) 542-4288

Fax

(318) 704-6201

NPI assigned

Aug 24, 2011

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

We Care Behavioral Health, LLCGroup PAC ID 4688947047, 3 clinicians

Tunica Biloxi Tribe of Louisiana Tribal OfficeGroup PAC ID 7113311267, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tunica Biloxi Tribe of Louisiana Tribal Office

  • Clinic/Center
  • Marksville, LA
  • NPI 1912591561

  TX

  Medicare reassignment Care Compare group NPD
• We Care Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1881055507
  Medicare reassignment Care Compare group NPD
• Convenient Care LLC

  dba Lake After Hours Perkins

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment NPD
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment NPD
• Rapides Healthcare System, LLC

  dba Rapides Regional Medical Center-Hospital-Based Physicians

  • Pediatric Pulmonology Physician
  • Alexandria, LA
  • NPI 1366618837
  Medicare reassignment NPD
• St. Francis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Monroe, LA
  • NPI 1194104513
  Medicare reassignment NPD
• Carl Phillips NP Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
  • NPI 1033719356
  NPD Authorized official
• Check Point Primary Care LLC

  • Family Medicine Physician
  • New Iberia, LA
  • NPI 1215767454
  NPD
• Convenient Care LLC

  dba Lake After Hours Hammond

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Convenient Care LLC

  dba Lake After Hours Brusly

  • Urgent Care Clinic/Center
  • Brusly, LA
  • NPI 1982919262
  NPD
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Avoyelles, LLC

  dba Avoyelles Hospital

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1053358176
  Care Compare affiliation

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1679853477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 IDLEWOOD DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033455",
            "telephone_number": "337-400-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 YORKTOWN DR STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033673",
            "telephone_number": "318-542-4288",
            "fax_number": "318-704-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Melancon Rd",
            "address_purpose": "LOCATION",
            "city": "Marksville",
            "state": "LA",
            "postal_code": "713513065",
            "country_code": "US",
            "telephone_number": "318-240-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARL",
        "middle_name": "DOUGLAS",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN115788-AP06562",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP06562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160648",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip C. Lindsay, M.D., LTD,Apmc
• Megann Phillippi, BCBA
• Anna Phillips
• Ashley Aderhold Phillips
• Brandon Phillips
• Lionnette Lashawn Phillips
• Patty Phillips
• Tucky Renee Phillips, MHP
• Martha R Philpot, FNP-C
• Marcus Darnell Philson, B.S.,MHS

• Family Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.

Verify at the official NPI Registry.