| Phillips Healthcare Group, Pc | |
|
6890 W.a.j. Hwy. Talbott TN 37877 | |
| (423) 839-2120 | |
| (423) 839-2125 |
| Full Name | Phillips Healthcare Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6890 W.a.j. Hwy., Talbott, Tennessee |
| Authorized Official Name and Position | Floyd Edward Phillips (OWNER) |
| Authorized Official Contact | 4232730741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Healthcare Group, Pc Po Box 879 Talbott TN 37877-0879 Ph: (423) 839-2120 | Phillips Healthcare Group, Pc 6890 W.a.j. Hwy. Talbott TN 37877 Ph: (423) 839-2120 |
| NPI Number | 1467846253 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Medicare PECOS PAC ID | 5193037679 |
|---|---|
| Medicare Enrollment ID | O20150713001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467846253 | NPI | - | NPPES |
| 1396184222 | Other | TN | NPI NUMBER |
| 1942297916 | Other | TN | NPI NUMBER |
| 1528003886 | Other | TN | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD024822 (Tennessee) | Primary |
| 208000000X | Pediatrics | MD024822 (Tennessee) | Secondary |
| Provider Name | Lucinda Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528003886 PECOS PAC ID: 4385679117 Enrollment ID: I20070308000428 |
| Provider Name | Floyd E Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942297916 PECOS PAC ID: 6608846712 Enrollment ID: I20070509000761 |
| Provider Name | Amber M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396184222 PECOS PAC ID: 7214179670 Enrollment ID: I20130814000481 |
| Provider Name | Amy Marie Epling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861010019 PECOS PAC ID: 2961800875 Enrollment ID: I20211007000804 |
Cherokee Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6350 W Andrew Johnson Hwy, Talbott, TN 37877 Phone: 423-587-7337 Fax: 423-586-0614 | |
Cherokee Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6350 W Andrew Johnson Hwy, Talbott, TN 37877 Phone: 800-231-4477 Fax: 423-586-0614 |