Individual provider Active NPI

Philisie M Wilcox, APRN-BC

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1790753572
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN07182 Issued in TN
Practice address
1177 Rock Springs Rd
Smyrna, TN 37167-8411
Phone
(615) 223-6200
Fax
(615) 223-6100
NPI assigned
Mar 9, 2006
Last updated
Jan 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN07182 TN Primary

Addresses

Primary practice location

1177 Rock Springs Rd
Smyrna, TN 37167-8411

Mailing address

PO Box 7125
Murfreesboro, TN 37133-7125
Phone (615) 223-6200

Other identifiers 1

IdentifierTypeStateIssuer
3729742MedicaidTN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7182TNMDGeneral Practice Dentistry
APN07182TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Pain Care PLLC PastSince Aug 1, 2021 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
William D. Lyles, Jr., M.D. and Associates, PLLC Past Accepting new patients
Precision Pain Care PLLC Past Accepting new patients
Tanglewood Medical Center, Inc. Past Accepting new patients
Trousdale Medical Clinic Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2520/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1790753572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7125",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371337125",
            "telephone_number": "615-223-6200",
            "fax_number": "615-223-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 ROCK SPRINGS RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678411",
            "telephone_number": "615-223-6200",
            "fax_number": "615-223-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "PHILISIE",
        "middle_name": "M",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN07182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729742",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.