NPIMap

Individual provider Active NPI

David E Phillips, M.D.

  • Pulmonary Disease Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1962487991
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0085367 Issued in FL
Practice address
249 Mack Bayou Loop
Suite 201
Santa Rosa Beach, FL 32459-7198
Phone
(850) 608-6288
Fax
(850) 608-6236
NPI assigned
Dec 13, 2005
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME0085367 FL
Pulmonary Disease Physician 207RP1001X ME0085367 FL Primary

Addresses

Primary practice location

249 Mack Bayou Loop
Suite 201
Santa Rosa Beach, FL 32459-7198

Mailing address

249 Mack Bayou Loop
Suite 201
Santa Rosa Beach, FL 32459-7198
Phone (850) 608-6288

Other identifiers 1

IdentifierTypeStateIssuer
264901200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000778 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5698899011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Louisiana State University School of Medicine in Shreveport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1002 N Arnold Rd
Suite 102
Panama City Beach, FL 32413-2291
Phone (850) 234-3087

20 Driftwood CT
Santa Rosa Beach, FL 32459-8009
Phone (850) 608-6288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0085367FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Pulmonary Disease CurrentSince Sep 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Destin Pulmonary Critical Care, PLLC Critical Care Medicine CurrentSince Mar 1, 2015 Accepting new patients
Inlet Cardiopulmonary & Associates, PA Critical Care Medicine PastSince Jul 1, 1998 Accepting new patients
Inlet Cardiopulmonary & Associates, PA Critical Care Medicine Past Accepting new patients
Inlet Pulmonary Critical Care and Sleep Medicine, PA Critical Care Medicine PastSince Jul 1, 2016 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1002 N Arnold Rd
Unit 102
Panama City Beach, FL 32413
Phone (850) 234-3087

249 Mack Bayou Loop
Ste 201
Santa Rsa Bch, FL 32459
Phone (850) 267-8452

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFHAD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1962487991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MACK BAYOU LOOP",
            "address_2": "SUITE 201",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597198",
            "telephone_number": "850-608-6288",
            "fax_number": "850-608-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MACK BAYOU LOOP",
            "address_2": "SUITE 201",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597198",
            "telephone_number": "850-608-6288",
            "fax_number": "850-608-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME0085367",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0085367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264901200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.