Individual provider Active NPI

Phillip Plemons

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1871840199
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1052653 Issued in AL
Practice address
129 E Park Cir
Birmingham, AL 35235-3000
Phone
(205) 836-7283
Fax
(205) 836-9594
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1052653 AL Primary

Addresses

Primary practice location

129 E Park Cir
Birmingham, AL 35235-3000

Mailing address

129 E Park Cir
Birmingham, AL 35235-3000
Phone (205) 836-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AZ, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141222001826 AL Practitioner - Nurse Practitioner 8921321043 Reassigns benefits to 1 organization
I20160608000339 AZ Practitioner - Nurse Practitioner 8921321043 Reassigns benefits to 3 organizations
I20200219000297 NM Practitioner - Nurse Practitioner 8921321043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Partners Integrated Healthcare, Inc.Group PAC ID 7315163938, 22 clinicians

Practice addresses (Care Compare)

301 E 4TH St
Suite a
Safford, AZ 85546-2074
Phone (928) 792-4242

5055 E Broadway Blvd
Suite A200
Tucson, AZ 85711-3649
Phone (520) 901-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinal Hispanic Council Incorporated CurrentSince Jan 20, 2024 Accepting new patients
Community Partners Integrated Healthcare Inc. CurrentSince May 27, 2016 Accepting new patients
Intermountain Health Center Inc Current Accepting new patients
Eastside Mental Health Center Inc CurrentSince Aug 2, 2014 Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Community Partners Integrated Healthcare, Inc. CurrentSince May 27, 2016 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Pinal Hispanic Council CurrentSince Jan 20, 2024 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Otero County Hospital Association CurrentSince Feb 14, 2024 Accepting new patients
GD Psych Services, LLC CurrentSince Jan 4, 2020 Accepting new patients
Intermountain Health Center, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Feb 14, 2024 Accepting new patients
Mental Health Resources Inc Past Accepting new patients
Behavioral Consultation Services, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Mental Health Resources Inc PastSince May 14, 2023 Accepting new patients
Eastside Mental Health Center Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients

Locations (25 of 29)

129 E Park Cir
Birmingham, AL 35235
Phone (205) 836-7283

500 S Highway 80
Ste A
Benson, AZ 85602
Phone (520) 720-0290

2028 N Trekell Rd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-3010

1667 N Trekell Rd
Ste 101
Casa Grande, AZ 85122
Phone (520) 284-5436

556 S Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-7405

1940 E 11th St
Douglas, AZ 85607
Phone (520) 364-4001

1930 E 11th St
Douglas, AZ 85607
Phone (520) 364-4508

107 E 4th St
Eloy, AZ 85131
Phone (480) 247-7619

275 N Grand Court Plz
Nogales, AZ 85621
Phone (520) 287-0015

272 W View Point Dr
Nogales, AZ 85621
Phone (520) 281-0678

1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000

301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242

2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560

2039 E Wilcox Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 226-9002

1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320

5055 E Broadway Blvd
Ste C104
Tucson, AZ 85711
Phone (520) 623-9833

2502 N Dodge Blvd
Ste 100
Tucson, AZ 85716
Phone (520) 901-4701

1021 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 407-5353

5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676

3716 E Columbia St
Ste 120
Tucson, AZ 85714
Phone (520) 318-4882

994 S Harrison Rd
Tucson, AZ 85748
Phone (520) 539-5091

5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701

2499 E Ajo Way
Tucson, AZ 85713
Phone (520) 618-8700

1021 E Palmdale St
Ste 150
Tucson, AZ 85714

2545 S Arizona Ave
Bldg A
Yuma, AZ 85364

Interoperability endpoints

  • Direct secure messaging: phillip.plemons.p1@direct.cpi.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1871840199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "205-836-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "205-836-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEMONS",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1052653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.