Individual provider Active NPI

Floyd E Phillips Jr., MD

  • Internal Medicine Physician
  • Talbott, TN
National Provider Identifier
1942297916
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024822 Issued in TN
Practice address
6890 W.a.J. Hwy
Talbott, TN 37877-8552
Phone
(423) 839-2120
Fax
(423) 839-2125
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024822 TN Primary

Addresses

Primary practice location

6890 W.a.J. Hwy
Talbott, TN 37877-8552

Mailing address

204 Shaver Dr
Talbott, TN 37877-8552
Phone (423) 581-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070509000761 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6608846712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Volunteer Healthcare Services, Inc.Group PAC ID 8820003981, 90 clinicians
Phillips Healthcare Group, PCGroup PAC ID 5193037679, 8 clinicians

Practice addresses (Care Compare)

3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495

6890 W a J Hwy
Talbott, TN 37877
Phone (423) 839-2120

Hospital & facility affiliations

  • Smoky Mountain Home Health and Hospice, Inc Home health agency, Newport, TN, CCN 447195
  • Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
  • Suncrest Hospice Hospice, Knoxville, TN, CCN 441560
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030
  • Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024822TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Healthcare Group, PC Internal Medicine CurrentSince Jun 10, 2015 Accepting new patients

Locations

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

6890 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 312-5442

Interoperability endpoints

  • Direct secure messaging: ward@phgp-tn.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1942297916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6890 W.A.J. HWY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-839-2120",
            "fax_number": "423-839-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "FLOYD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "024822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talbott, TN

Sources for this page

Verify at the official NPI Registry.