Active NPI
Paula Ruth Phillips-Duncan, RN, BSN, CBN
- Registered Nurse
- Cumming, GA
National Provider Identifier
1710443221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN123801
- Practice address
- 1200 Northside Forsyth Dr
Cumming, GA 30041-7659 - Phone
- (770) 292-4726
- Fax
- (770) 292-4727
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN123801 | GA | Primary |
Addresses
Primary practice location
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Mailing address
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 292-4726
Other names 1
- Ms. Paula Ruth Phillips
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN123801 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1710443221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NORTHSIDE FORSYTH DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417659",
"telephone_number": "770-292-4726",
"fax_number": "770-292-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NORTHSIDE FORSYTH DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417659",
"telephone_number": "770-292-4726",
"fax_number": "770-292-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS-DUNCAN",
"first_name": "PAULA",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "RN, BSN, CBN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN123801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "PHILLIPS",
"middle_name": "RUTH",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.