Active NPI
Justin Wesley Phillpott, M.D.
- Diagnostic Radiology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME76550
- Practice address
- 2055 Normandie Dr
108
Montgomery, AL 36111-2732 - Phone
- (334) 288-4624
- Fax
- (334) 280-3628
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 053805 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | ME76550 | FL | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME76550 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 00026333 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | 00026333 | AL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | J8715 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 053805 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | J8715 | TX |
Addresses
Primary practice location
2055 Normandie Dr
108
Montgomery, AL 36111-2732
Mailing address
2055 Normandie Dr
108
Montgomery, AL 36111-2732
Phone (334) 288-4624
Other practice location 1
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107041 | Medicaid | AL | |
| 108373 | Medicaid | AL | |
| 107043 | Medicaid | AL | |
| 108074 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Auburn, AL 36830
Phone (606) 679-7441
15340 S Jog Rd
Suite 160
Delray Beach, FL 33446-2170
Phone (561) 496-6935
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
605 Crescent Executive CT
Suite 124
Lake Mary, FL 32746-2133
Phone (407) 975-3315
6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935
6500 Fort Caroline Rd
Suite B
Jacksonville, FL 32277-2084
Phone (904) 745-5900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME76550 | FL | MD | Diagnostic Radiology Physician |
| 053805 | GA | MD | Diagnostic Radiology Physician |
| J8715 | TX | MD | Diagnostic Radiology Physician |
| 00026333 | AL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Imaging PC | Current | Accepting new patients | |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Bluegrass Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Clermont Radiology LLC | Current | Accepting new patients | |
| University Diagnostic Institute Winter Park PLLC | Current | Accepting new patients | |
| Rose Radiology Centers, LLC | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Diagnostic Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Montgomery Radiology Associates, PA | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Selma Radiology Associates P C | Current | Accepting new patients | |
| Open MRI of Tifton LLC | Past | Accepting new patients | |
| Boca Radiology Group PA | Diagnostic Radiology | Past | Accepting new patients |
| Bay Radiology Womens Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Past | Accepting new patients |
| Bay Radiology Associates, PL | Diagnostic Radiology | Past | Accepting new patients |
Locations
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100
2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222
6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227
1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144
6500 Fort Caroline Rd
Ste B
Jacksonville, FL 32277
Phone (904) 745-5900
1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400
605 Crescent Executive Ct
Ste 124
Lake Mary, FL 32746
2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151
2020 Professional Center Dr
Orange Park, FL 32073
Phone (800) 220-4661
5787 Vineland Rd
Ste 101
Orlando, FL 32819
2605 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 876-7200
2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054
111 N Lakemont Ave
Ste 1A
Winter Park, FL 32792
111 N Lakemont Ave
Ste 2E
Winter Park, FL 32792
Phone (407) 628-5838
45 Tower Cir
Somerset, KY 42503
Phone (606) 451-0134
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- justin.phillpott@direct.baptistfirst.org
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.
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Delray Beach, FL
- NPI 1730125261
-
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1417917253
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Specialist
- Montgomery, AL
- NPI 1689621211
-
- Specialist
- Montgomery, AL
- NPI 1023046604
-
- Specialist
- Montgomery, AL
- NPI 1669429296
-
dba Clermont Radiology-Kings Ridge
- Radiology Clinic/Center
- Clermont, FL
- NPI 1003328642
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1033426622
-
dba Clermont Radiology - Ocala
- Radiology Clinic/Center
- Ocala, FL
- NPI 1235770686
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
dba Lake Cumberland Regional Hospital
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- Critical Access Hospital
- Russell Springs, KY
- NPI 1013954437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1982676664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
}
],
"practiceLocations": [
{
"address_1": "4250 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324461917",
"country_code": "US",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLPOTT",
"first_name": "JUSTIN",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "053805",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME76550",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME76550",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AL",
"license": "00026333",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "00026333",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "J8715",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "053805",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "J8715",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107041",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108373",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107043",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108074",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Kerrigan Toneah Phillips, ALC
- Matthew Eugene Phillips, MD
- Savannah Phillips, LHAS
- Tiffany Phillips
- William Phillips, PHARM.D.
- Phoenix Rising Therapy
- Chethana R. Phonde, M.D.
- Chiangchanh Phothisane, PHARMD
- Chris H Phung, RPH
- Physicians Choice Dialysis of Alabama LLC (Physicians Choice Dialysis - Montgomery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.