Individual provider Active NPI

Michael David Phillips, D.O.

  • Cardiovascular Disease Physician
  • Gallatin, TN
National Provider Identifier
1770804908
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2358 Issued in TN
Practice address
300 Steam Plant Rd Ste 300
Gallatin, TN 37066-3089
Phone
(615) 415-9200
Fax
(615) 451-1246
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0000002358 TN
Cardiovascular Disease Physician 207RC0000X 201802679 NC
Cardiovascular Disease Physician 207RC0000X 2358 TN Primary

Addresses

Primary practice location

300 Steam Plant Rd Ste 300
Gallatin, TN 37066-3089

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-7261

Other practice location 1

1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615002984 TN Practitioner - Cardiovascular Disease (Cardiology) 3779836937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

300 Steam Plant Rd
Suite 300
Gallatin, TN 37066-3089
Phone (615) 451-9200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0000002358TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices, LLC Internal Medicine CurrentSince Dec 8, 2024 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Dec 8, 2024 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients

Locations

107 Health Care Dr
Bldg 3
Carthage, TN 37030
Phone (615) 452-3250

300 Steam Plant Rd
Ste 310
Gallatin, TN 37066
Phone (615) 328-3730

300 Steam Plant Rd
Ste 130
Gallatin, TN 37066
Phone (615) 328-3750

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

300 20th Ave N
Fl 9
Nashville, TN 37203

934 S Broadway St
Ste C
Portland, TN 37148
Phone (615) 323-7432

Interoperability endpoints

  • Direct secure messaging: michael.phillips.1@7654.direct.athenahealth.com
  • Direct secure messaging: michael.phillips.2@7654.direct.athenahealth.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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1770804908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-7261",
            "fax_number": "615-284-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663089",
            "telephone_number": "615-415-9200",
            "fax_number": "615-451-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017307",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "0000002358",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "201802679",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "2358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.