Individual provider Active NPI

Joi Sherrel Phillips, M.D.

  • Emergency Medicine Physician
  • Montgomery, AL
National Provider Identifier
1801328463
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
40978 Issued in AL
Practice address
2105 E South Blvd
Montgomery, AL 36116-2409
Phone
(334) 288-2100
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 40978 AL Primary

Addresses

Primary practice location

2105 E South Blvd
Montgomery, AL 36116-2409

Mailing address

2105 E South Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200806000337 AL Practitioner - Emergency Medicine 2769752518 Reassigns benefits to 2 organizations
I20211216000289 GA Practitioner - Emergency Medicine 2769752518 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet Primary Care Physicians Southeast PCGroup PAC ID 3779497045, 71 clinicians
Walker Lake Emergency Group PCGroup PAC ID 0840531919, 31 clinicians
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians
Union City Emergency Physicians, LLCGroup PAC ID 8527533991, 7 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

5500 Campbellton Fairburn Rd
Fairburn, GA 30213-2024
Phone (404) 616-7555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40978ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Southeast PC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
The Bortolazzo Group, LLC Single Specialty CurrentSince Nov 5, 2021 Accepting new patients
Wellstar Medical Group, LLC Single Specialty Current Accepting new patients
Paragon Contracting Services LLC Single Specialty CurrentSince Jul 20, 2021 Accepting new patients
Walker Lake Emergency Group, PC Single Specialty CurrentSince Sep 3, 2023 Accepting new patients
Emergency Services of Montgomery PC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jphillips434879@directwellstar.org

Organizations & group practices 7

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 2

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1801328463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "334-288-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "334-288-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOI",
        "middle_name": "SHERREL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "40978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.