Individual provider Active NPI

Justin Wesley Phillpott, M.D.

  • Diagnostic Radiology Physician
  • Montgomery, AL
National Provider Identifier
1982676664
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME76550 Issued in FL
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

Updated by the provider on May 28, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
107041MedicaidAL
108373MedicaidAL
107043MedicaidAL
108074MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041210000479 FL Practitioner - Diagnostic Radiology 4082511837 Reassigns benefits to 5 organizations
I20050329001035 AL Practitioner - Diagnostic Radiology 4082511837 Reassigns benefits to 4 organizations

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
Bluegrass Radiology Associates IncGroup PAC ID 4284661836, 14 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
University Diagnostic Institute Winter Park PLLCGroup PAC ID 5991607871, 9 clinicians
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76550FLMDDiagnostic Radiology Physician
053805GAMDDiagnostic Radiology Physician
J8715TXMDDiagnostic Radiology Physician
00026333ALMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Imaging PC CurrentSince Jan 1, 2005 Accepting new patients
Clermont Radiology LLC CurrentSince Aug 1, 2023 Accepting new patients
Bluegrass Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 5, 2025 Accepting new patients
Clermont Radiology LLC CurrentSince Aug 1, 2023 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Aug 25, 2023 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology CurrentSince Aug 25, 2023 Accepting new patients
Clermont Radiology LLC CurrentSince Aug 1, 2023 Accepting new patients
University Diagnostic Institute Winter Park PLLC CurrentSince Apr 14, 2025 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Aug 25, 2023 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Orlando Diagnostic Center Inc Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Montgomery Radiology Associates, PA CurrentSince Jan 1, 2005 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Selma Radiology Associates P C CurrentSince Jan 1, 2005 Accepting new patients
Open MRI of Tifton LLC PastSince Jun 1, 2007 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Bay Radiology Womens Imaging Center, LLC Diagnostic Radiology PastSince Jan 4, 2010 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 PastSince Jul 12, 2004 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

  • Direct secure messaging: 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.

View all 22

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.