Tina Renee Phillips, is a
Registered Nurse based in Senoia, Georgia. Tina Renee Phillips is licensed to practice in Georgia (license number RN276096) and her current practice location is
4111 Highway 54, Senoia, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 238-6370.
NPI number for Tina Renee Phillips is 1396621108 and her current mailing address is 4111 Highway 54, Senoia, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396621108.
Provider's Profile
| Full Name | Tina Renee Phillips |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 4111 Highway 54, Senoia, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396621108
- Provider Enumeration Date: 08/15/2025
- Last Update Date: 08/15/2025
Medical Identifiers
Medical identifiers for Tina Renee Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396621108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN276096 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Renee Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tina Renee Phillips,
4111 Highway 54,
Senoia, GA 30276-2625
Ph: (770) 238-6370 | Tina Renee Phillips,
4111 Highway 54,
Senoia, GA 30276-2625
Ph: (770) 238-6370 |
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