Individual provider Active NPI

Robert Macon Phillips Jr., MD

  • Rheumatology Physician
  • Huntsville, AL
National Provider Identifier
1841218161
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
8747 Issued in AL
Practice address
720 Gallatin Street
Suite 500
Huntsville, AL 35801-4414
Phone
(256) 551-6510
Fax
(256) 551-6507
NPI assigned
Jul 17, 2006
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 8747 AL Primary

Addresses

Primary practice location

720 Gallatin Street
Suite 500
Huntsville, AL 35801-4414

Mailing address

720 Gallatin Street
Suite 500
Huntsville, AL 35801-4414
Phone (256) 551-6510

Other identifiers 3

IdentifierTypeStateIssuer
51033733OtherALBC NUMBER
000009819MedicaidAL
528600320MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050420001367 AL Practitioner - Rheumatology 5092785527 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8747ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of North Alabama PC Rheumatology CurrentSince May 1, 1997 Accepting new patients
Rheumatology Associates of North Alabama, PC Rheumatology CurrentSince Oct 1, 1984 Accepting new patients
Nwa Infusion PastSince Feb 26, 2024 Accepting new patients

Locations

416 N Seminary St
Ste 2000
Florence, AL 35630
Phone (256) 740-3999

4606 Bellewood Dr
Huntsville, AL 35802
Phone (205) 551-6510

720 Gallatin St SW
Ste 500
Huntsville, AL 35801
Phone (256) 551-6510

1120 S Jackson Hwy
Ste 205
Sheffield, AL 35660
Phone (256) 381-6963

Interoperability endpoints

  • Direct secure messaging: macon.phillips@rana.direct.systemedx.com

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, 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1841218161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 GALLATIN STREET",
            "address_2": "SUITE 500",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014414",
            "telephone_number": "256-551-6510",
            "fax_number": "256-551-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GALLATIN STREET",
            "address_2": "SUITE 500",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014414",
            "telephone_number": "256-551-6510",
            "fax_number": "256-551-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBERT",
        "middle_name": "MACON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "8747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NUMBER",
            "identifier": "51033733",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009819",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528600320",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.