CARRIE M PHILLIPS (NPI# 1104075415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104075415 |
| Entity Type | Individual |
| Full Name | CARRIE M PHILLIPS |
| Credential | PA-C |
| Practice Address |
961 Smoky Mtn Spgs Ln Ne Ste A Gainesville GA 30501-2418 |
| Mailing Address |
961 Smoky Mountain Springs Ln Ne Ste A Gainesville GA 30501-2418 |
| Practice Telephone | 7705313711 |
| Practice Fax Number | 7705313718 |
| Mailing Telephone | 7705313711 |
| Mailing Fax Number | 7705313718 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1787 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1518440692 | Carrie Phillips | Social Worker | 13 Gregory Hill Rd, Princeton, MA 01541-1101 | 2018-09-13 |
| 1740782572 | Carrie Phillips | Naturopath | 3804 87th Avenue Ct Nw, Gig Harbor, WA 98335-6017 | 2018-03-07 |
| 1649788274 | Carrie Phillips | Counselor | 125 Seminole Dr, Greenville, SC 29605-1901 | 2018-01-17 |
| 1437447299 | Carrie Suzanne Phillips | Marriage & Family Therapist | 721 N Vulcan Ave Ste 209, Encinitas, CA 92024-2191 | 2011-07-14 |
| 1639409121 | Carrie May Phillips | Licensed Vocational Nurse | 1477 Harvard Ave, Suite B, Clovis, CA 93612-6011 | 2010-01-05 |
| 1285784629 | Carrie A Phillips | Social Worker | 500 Lincoln Park Blvd Ste 208, Kettering, OH 45429-3479 | 2007-01-10 |
| 1215557855 | Carrie Phillips | Registered Nurse | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2020-04-23 |
| 1427450444 | Carrie Helen Phillips | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2014-09-22 |
| 1699957142 | Carrie Phillips | Registered Nurse | 300 Sw 7th St, Renton, WA 98057-2307 | 2007-11-27 |
| Street Address |
961 SMOKY MTN SPGS LN NE STE A |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989471 | Rylee Holland | Physician Assistant | 701 Sw 62nd Blvd Apt 118, Gainesville, FL 32607-2079 | 2020-10-14 |
| 1992329726 | Clinton Thomas Zopf | Physician Assistant | 4229 Nw 43rd St Apt E40, Gainesville, FL 32606-2508 | 2020-06-08 |
| 1689298721 | Michael Wood | Physician Assistant | 10360 Sw 51st Ln, Gainesville, FL 32608-4380 | 2020-06-04 |
| 1386268431 | Alexandra Christina Clayton | Physician Assistant | 1600 Sw Archer Rd Rm 6130, Gainesville, FL 32610-6922 | 2020-06-04 |
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1003454786 | Erica Lynn Iketani | Physician Assistant | 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610-3003 | 2019-12-13 |
| 1952967184 | Naomi Lux | Physician Assistant | 15418 N State Road 121, Gainesville, FL 32653-7513 | 2019-05-13 |
| 1700441441 | Alexandria Brown | Physician Assistant | 3538 Nw 25th Ter, Gainesville, FL 32605-2296 | 2019-05-08 |
| 1891250502 | Mark Burdette Mechak | Physician Assistant | 14535 John Marshall Hwy Ste 105, Gainesville, VA 20155-4024 | 2019-02-06 |
| 1427564848 | Ngan Lam | Physician Assistant | 200 Sw 62nd Blvd Ste C, Gainesville, FL 32607-2067 | 2017-12-20 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.