Larisa Phillips

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1335 N 5TH Street Ext
Suite B
Cordele, GA 31015-3753

Phone

(229) 273-2091

Fax

(229) 273-2022

NPI assigned

Feb 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Middle Flint Community Service Board

  dba Cordele Family Enrichment Center

  • Community/Behavioral Health Agency
  • Cordele, GA
  • NPI 1700054426
  NPD (past)
• Middle Flint Community Service Board

  • Community/Behavioral Health Agency
  • Cordele, GA
  • NPI 1982872172
  NPD (past)

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1689033870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N JACKSON ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N 5TH STREET EXT",
            "address_2": "SUITE B",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153753",
            "telephone_number": "229-273-2091",
            "fax_number": "229-273-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor M Pearson, MED, CCC-SLP
• Claudeshia Pertilla, CCC-SLP
• William Arthur Pflueger, O.D.
• Kethia Phelizor, DO
• Bobbi Amber Phillips
• Sandy Pierce
• Sharon Nichols Pierce, CNM, MSN
• Yolanda Teresa Pierce, ACNPC-AG
• Andrew James Pless Jr., PHARM D
• Jasmine Pollard

• Social Worker in Cordele, GA
• Providers in Cordele, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.