PHILLIPS MEDICAL CORPORATION
NPI 1104987536
Pediatrics in Minden, LA

Active since December 12, 2006CLIA 19D0977062 · Waiver
607 FLEMING LN, MINDEN, LA 71055(318) 371-2229(318) 371-2228 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2021, Mar 23, 2021 (2 updates tracked since 2021).

About Phillips Medical Corporation NPPES

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

PHILLIPS MEDICAL CORPORATION (NPI 1104987536) is a healthcare organization registered as a pediatrics in Minden, Louisiana and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Elizabeth Fullerton Phillips, President, as its authorized official.

NPPES Registry Identity

NPI1104987536
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePHILLIPS MEDICAL CORPORATION
Location Address607 FLEMING LNMinden, LA 71055-3073
Mailing Address607 Fleming LnMinden, LA 71055-3073 · (318) 371-2229 · Fax (318) 371-2228
Fax(318) 371-2228
Organization SubpartNo
Authorized OfficialElizabeth Fullerton PhillipsPresident · (318) 371-2229
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
NPI 1104987536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
607 FLEMING LN, Minden, LA 71055

Other Identifiers 1

Medicaid1537683LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0977062

Phillips Medical Corporation Elizabeth F Phillips, MD · Minden, LA
Active · expires Sep 30, 2027
CLIA Number19D0977062
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorElizabeth F. Phillips, MD
Laboratory Phone(318) 371-2229
Laboratory LocationPhillips Medical Corporation Elizabeth F Phillips, MD607 Fleming Lane, Minden, LA 71055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
607 FLEMING LN
MINDEN, LA 71055
Pediatrics
607 FLEMING LN
MINDEN, LA 71055

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 Phillips Medical Corporation's NPI number?

The NPI number for Phillips Medical Corporation is 1104987536. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Phillips Medical Corporation located?

Phillips Medical Corporation is located at 607 Fleming Ln, Minden, LA 71055. The listed phone number is (318) 371-2229.

What is Phillips Medical Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Phillips Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0977062) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phillips Medical Corporation was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.