Active NPI
James E Phillips, MD
- Anatomic Pathology & Clinical Pathology Physician
- Macon, GA
National Provider Identifier
1942289061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 011032
- Practice address
- 350 Hospital Dr
Macon, GA 31217-3838 - Phone
- (478) 765-4865
- NPI assigned
- Jan 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 011032 | GA | Primary |
Addresses
Primary practice location
350 Hospital Dr
Macon, GA 31217-3838
Mailing address
2560 N Shadeland Ave
Suite a
Indianapolis, IN 46219-1705
Phone (317) 275-8072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345985 | Other | GA | WELLCARE |
| 52026301 001 | Other | GA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011032 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocmulgee Medical Pathology Association, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Tucker, GA
- NPI 1356714703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942289061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 N SHADELAND AVE",
"address_2": "SUITE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191705",
"telephone_number": "317-275-8072",
"fax_number": "317-275-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "478-765-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "011032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "345985",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52026301 001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Amanda Phillips, NP
- Celecia Phillips, MOTR/L, COMS, CVRT
- Charleitte Phillips, FNP-BC
- Charles Bailey Phillips Jr., D.C.
- Dan Emory Phillips, MD
- Jasmine Phillips
- Physician Consultants of Georgia
- Physician Consultants of Georgia Interventional LLC (Midtown Vascular Center)
- Physician Support Associates PC (Physician Support Associates Inc)
- Physicians & Midwives of Macon, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.