PHILLIP'S PEDIATRICS PC (NPI# 1326197765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326197765 |
| Entity Type | Organization |
| Organization Name | PHILLIP'S PEDIATRICS PC |
| Practice Address |
455 S Main St Ste 101 Hinesville GA 31313-4353 |
| Mailing Address |
455 S Main St Ste 103 Hinesville GA 31313-4354 |
| Practice Telephone | 9128766868 |
| Practice Fax Number | 9128765553 |
| Mailing Telephone | 9128766868 |
| Mailing Fax Number | 9128765553 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | PHILLIP O AJAYI (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9128766868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | GA | Managed Care Organizations |
| Street Address |
455 S MAIN ST STE 101 |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457637 | The Neurological Institute of Savannah & Center for Spine, PC | Neurological Surgery | 455 S Main St, Hinesville, GA 31313-4353 | 2020-04-27 |
| 1871980458 | Tattnall Hospital Company, LLC | Neurological Surgery | 455 S Main St, Suite 106, Hinesville, GA 31313-4353 | 2015-04-21 |
| 1962899542 | Optim Orthopedics, LLC | Orthopaedic Surgery | 455 S Main St, Suite 106, Hinesville, GA 31313-4353 | 2015-04-21 |
| 1215378526 | Liberty Orthopedics and Sports Medicine | Orthopaedic Surgery | 455 S Main St, Ste 106, Hinesville, GA 31313-4353 | 2013-07-15 |
| 1861762007 | Allied Health Systems | Counselor | 455 S Main St, Hinesville, GA 31313-4353 | 2012-01-05 |
| 1003105727 | Christine A. Swords | Nurse Practitioner | 455 S Main St, Suite 201, Hinesville, GA 31313-4353 | 2011-04-04 |
| 1225285182 | Tometricia Brown | Pediatrics | 455 S Main St, Suite 101, Hinesville, GA 31313-4353 | 2008-08-22 |
| 1972763043 | Ophelia P Gherman | Family Medicine | 455 S Main St, Suite 104, Hinesville, GA 31313-4353 | 2008-06-12 |
| 1952579666 | Coastal Medical Specialists | Specialist | 455 S Main St, Suite 105, Hinesville, GA 31313-4353 | 2008-02-15 |
| 1689878084 | Kathleen Cools | Obstetrics & Gynecology | 455 S Main St, Suite 202, Hinesville, GA 31313-4353 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780964841 | Hinesville Women's Clinic | Exclusive Provider Organization | 4540 E Oglethorpe Hwy, Suite B, Hinesville, GA 31313-1445 | 2011-08-22 |
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| 1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
| 1851830806 | Martinez Orthodontics, PC | Exclusive Provider Organization | 4469 Columbia Rd Ste B, Martinez, GA 30907-4573 | 2017-02-22 |
| 1467900191 | The 831 Company | Exclusive Provider Organization | 788 Hightower Rd, Macon, GA 31206-2240 | 2016-09-11 |
| 1992151567 | Cindys Childrens Charitable & Elderly Care Foundation Inc. | Exclusive Provider Organization | 1249 Kasandra Dr Se, Marietta, GA 30067-7713 | 2016-05-12 |
| 1275925711 | Briah Fashions LLC | Exclusive Provider Organization | 1215 Lionsgate Dr, Conyers, GA 30094-6106 | 2015-02-20 |
| 1992105258 | My Matrix, Incorporated | Exclusive Provider Organization | 2640 Martin Luther King Jr Dr Sw, Atlanta, GA 30311-6101 | 2014-08-23 |
| 1356760318 | Specialized Therapy Solutions, LLC | Exclusive Provider Organization | 1494 Hampton View Ct, Marietta, GA 30008-4094 | 2014-04-07 |
| 1558787085 | Qura Woodbury | Exclusive Provider Organization | 464 Vinings Vintage Cir, Mableton, GA 30126-7207 | 2014-03-07 |
| 1285059006 | Brandy Schultz Cares | Exclusive Provider Organization | 1960 Morning Ln Nw, Acworth, GA 30102-7912 | 2014-03-03 |
| 1740604883 | Judin Lynch | Exclusive Provider Organization | 919 Koala Ct, Lawrenceville, GA 30043-7699 | 2014-02-10 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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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.