DR. DONALD MARVIN PHILLIPS JR. DMD
NPI 1174509319
Oral & Maxillofacial Surgery in Atlanta, GA

Q: What is Donald Phillips's NPI number?

The NPI number for Donald Phillips is 1174509319. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Q: What is Donald Phillips's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: Is Donald Phillips enrolled in Medicare?

No. Donald Phillips has opted out of Medicare through May 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Donald Phillips was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 20, 2005Opted out of Medicare · through May 28, 2027

2295 PARKLAKE DR NE STE 240, ATLANTA, GA 30345(770) 723-9965(770) 723-9344 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Donald Marvin Phillips Jr. Dmd NPPES

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

DR. DONALD MARVIN PHILLIPS JR. DMD (NPI 1174509319) is an individual oral & maxillofacial surgery provider in Atlanta, Georgia, licensed in Georgia (013846) and active in the NPI registry since December 2005. He has opted out of Medicare through May 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174509319

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. DONALD MARVIN PHILLIPS JR.Credential: DMD

Location Address2295 PARKLAKE DR NE STE 240Atlanta, GA 30345-2863

Mailing Address2295 Parklake Dr Ne Ste 240Atlanta, GA 30345-2863 · (770) 723-9965 · Fax (770) 723-9344

Phone(770) 723-9965

Fax(770) 723-9344

Sole ProprietorNo

Enumeration DateDecember 20, 2005

Last NPPES UpdateOctober 25, 2023

NPPES CertifiedOctober 25, 2023

✔ NPI 1174509319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in GA · 013846

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 3933 (SC)

2295 PARKLAKE DR NE STE 240, Atlanta, GA 30345

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Donald Marvin Phillips Jr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 28, 2015 through May 28, 2027.

Opt-Out Effective DateMay 28, 2015

Opt-Out In Effect ThroughMay 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

DONALD PHILLIPS ORAL SURGERY

Clinic/Center (Oral and Maxillofacial Surgery)

2295 PARKLAKE DR NE STE 240
ATLANTA, GA 30345

Dekalb County (770) 723-9965

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 Donald Phillips's NPI number?

The NPI number for Donald Phillips is 1174509319. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Donald Phillips located?

Donald Phillips practices at 2295 Parklake Dr NE Ste 240, Atlanta, GA 30345. The listed phone number is (770) 723-9965.

What is Donald Phillips's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Donald Phillips enrolled in Medicare?

No. Donald Phillips has opted out of Medicare through May 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Donald Phillips accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 12 other insurers list Donald Phillips 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.

When was this NPI record last updated?

The NPPES record for Donald Phillips was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.