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PHILLIP POULOS M.D.
NPI 1053422675
Internal Medicine in Albany, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
2202 E OGLETHORPE BLVD, ALBANY, GA 31705(229) 431-1423 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip Poulos M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP POULOS M.D. (NPI 1053422675) is an individual internal medicine provider in Albany, Georgia, licensed in Georgia (022622) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of University Of Florida College Of Medicine (1999).

NPPES Registry Identity

NPI1053422675
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILLIP POULOSCredential: M.D.
Location Address2202 E OGLETHORPE BLVDAlbany, GA 31705-2940
Mailing Address204 N Westover BlvdAlbany, GA 31707-2983 · (229) 888-6559 · Fax (229) 436-4107
Phone(229) 431-1423
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053422675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 022622
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2202 E OGLETHORPE BLVD, Albany, GA 31705
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Other Identifiers 5

Other017231GA · Bcbs - Eamc
Medicare UPIND40890GA
Other5199230GA · Aetna
Other055019GA · Bcbs - Rhiv
Medicare ID-Type Unspecified11BDPHQGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip Poulos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658403910
PECOS Enrollment IDI20100722000023
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers69 claims141 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers23 claims23 services$0.98 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$40.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA MONCUS RN
Registered Nurse (Case Management)
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423
RODESIA ASHANTA WOODSON FNP
Nurse Practitioner (Family)
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423
MS. DAWN R ROBINSON B.S.W., M.S.ED.
Social Worker (Clinical)
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423
KIMBERLY V WILLIAMS MSW
Social Worker
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423
DANA GRAY BS
Social Worker (Clinical)
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423
ALBANY AREA PRIMARY HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423
MS. ADRIAN M. JOHNSON M.S.
Social Worker (Clinical)
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423
STEPHANIE STEVENSON PA-C
Physician Assistant
2202 E OGLETHORPE BLVD
ALBANY, GA 31705
Dougherty County (229) 431-1423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Poulos's NPI number?

The NPI number for Phillip Poulos is 1053422675. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Phillip Poulos located?

Phillip Poulos practices at 2202 E Oglethorpe Blvd, Albany, GA 31705. The listed phone number is (229) 431-1423.

What is Phillip Poulos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Phillip Poulos enrolled in Medicare?

Yes. Phillip Poulos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Phillip Poulos accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Phillip Poulos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phillip Poulos affiliated with any hospitals?

According to CMS data, Phillip Poulos is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Poulos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.