Jamie G. Phillips, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005043 Issued in MI

Practice address

873 W Silver Lake Rd
Fenton, MI 48430-2624

Phone

(810) 629-5566

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• High Vitality LLC

  • Clinic/Center
  • Flint, MI
  • NPI 1861951329
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821114893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 STATE ST",
            "address_2": "STE E",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302624",
            "telephone_number": "810-629-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10084 Shadybrook Ln",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398317",
            "country_code": "US",
            "telephone_number": "810-931-7394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAMIE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25366",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Teresa Passalacqua, M.A.,LPC
• Sarah Lynn Paxton, D.D.S.
• Erica Marie Peabody, D.C.
• Denise Ann Perry, LICENSED MASSAGE THE
• Elizabeth Marie Phillips, LCSW
• Physiotherapy Associates Inc
• Tiffany Pijor, PHARMD
• Madison Rose Pitcher, PA-C
• Nancy J Posey
• Theresa Ann Posey, RMA

• Chiropractor in Fenton, MI
• Providers in Fenton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.