Individual provider Active NPI

Heather Phillips, MD

  • Internal Medicine Physician
  • Smyrna, TN
National Provider Identifier
1801007596
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42802 Issued in TN
Practice address
741 President PL
Suite 200
Smyrna, TN 37167-6807
Phone
(615) 459-7104
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 42802 TN
Internal Medicine Physician 207R00000X 42802 TN Primary

Addresses

Primary practice location

741 President PL
Suite 200
Smyrna, TN 37167-6807

Mailing address

649 Rambush Dr
Murfreesboro, TN 37128-5129

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
I20080204000629 TN Practitioner - Internal Medicine 1658453279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Medicine and Pediatrics PCGroup PAC ID 7719873934, 11 clinicians

Practice addresses (Care Compare)

741 President PL
Suite 200
Smyrna, TN 37167-6809
Phone (615) 721-9676

741 President Place
Suite 200
Smyrna, TN 37167-6809

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Medicine & Pediatrics PC Internal Medicine CurrentSince Jan 4, 2008 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Saint Thomas Rutherford Hospital Past Accepting new patients

Locations

1747 Medical Center Pkwy
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-1902

741 President Pl
Ste 200
Smyrna, TN 37167
Phone (615) 459-7104

Organizations & group practices 3

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 1

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1801007596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 RAMBUSH DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-459-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HEATHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "42802",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "42802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.