George Adam Phillips, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3198008 Issued in FL

Practice address

738 Hartford Dr NW
Port Charlotte, FL 33952-6411

Phone

(941) 249-7808

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1811615123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 HARTFORD DR NW",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526411",
            "telephone_number": "941-249-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 HARTFORD DR NW",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526411",
            "telephone_number": "941-249-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GEORGE",
        "middle_name": "ADAM",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": "A-3198008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Pew, BC-HIS
• Sidney Peykar, M.D.
• Karen L Pham, MD
• Thu Anh Pham, DMD
• Guillermo A Philipps, M.D.
• Thresia Phillips
• Phyamerica Hospital Specialists LLC
• Phyllis Baird Adult Family Care Home
• Physician Extenders PA
• Physiotherapy Associates, Inc.

• Health & Wellness Coach in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.