Phillip Matthew Ezell, FNP-BC, AGACNP-BC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

905839 Issued in MS

Practice address

908 S George Ave
Petal, MS 39465-2077

Phone

(601) 544-7441

NPI assigned

Sep 28, 2023

Last updated

Jan 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Medical Systems Management LLC

  dba Rankin Rural Medical Clinic

  • Rural Health Clinic/Center
  • Richland, MS
  • NPI 1740555267
  Medicare reassignment Care Compare group NPD
• Ap Med L L C

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1730834458
  NPD (past)
• Apex Prime Health Solutions LLC

  • Rural Health Clinic/Center
  • Hattiesburg, MS
  • NPI 1942151188
  NPD (past)

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

• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1689453524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 WEATHERSBY RD STE 140",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029586",
            "telephone_number": "601-318-0669",
            "fax_number": "601-994-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S GEORGE AVE",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652077",
            "telephone_number": "601-544-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Weathersby Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394029586",
            "country_code": "US",
            "telephone_number": "601-318-0669",
            "fax_number": "601-994-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZELL",
        "first_name": "PHILLIP",
        "middle_name": "MATTHEW",
        "credential": "FNP-BC, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MS",
            "license": "905839",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MS",
            "license": "905839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Thomas Ellison
• Encore Rehabilitation Inc (Encore Rehab of Petal)
• April L Estill, LCSW
• Anthony Lee Evans
• Heather Ezell
• Lorelei Lucas Farr, PHARM.D.
• Marcus Donald Finch
• Fit Jam LLC (Visiting Angels)
• William Phillip Fortenberry Jr.
• Sara E Foster, MS, RD, LD

• Adult Medicine Physician in Petal, MS
• Providers in Petal, MS by specialty
• Adult Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.