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PHILLIPS MEDICAL SERVICES PLLC
NPI 1174792790
Family Medicine in Jackson, MS

Active since February 27, 2008CLIA 25D0984523 · Waiver
909 ELLIS AVE STE 16, JACKSON, MS 39209(601) 948-8503(601) 948-8502 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillips Medical Services Pllc NPPES

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

PHILLIPS MEDICAL SERVICES PLLC (NPI 1174792790) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Tricia Duncan, Biller, as its authorized official.

NPPES Registry Identity

NPI1174792790
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHILLIPS MEDICAL SERVICES PLLC
Location Address909 ELLIS AVE STE 16Jackson, MS 39209-6256
Mailing Address909 Ellis Ave Ste 16Jackson, MS 39209-6256 · (601) 948-8503 · Fax (601) 948-8502
Phone(601) 948-8503
Fax(601) 948-8502
Organization SubpartNo
Authorized OfficialTricia DuncanBiller · (601) 878-6945
Enumeration DateFebruary 27, 2008
Last NPPES UpdateApril 30, 2014
✔ NPI 1174792790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 10785
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
909 ELLIS AVE STE 16, Jackson, MS 39209
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Other Identifiers 2

Medicaid00116024MS
Medicare PIN512G700212MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D0984523

Phillips Medical Services · Jackson, MS
Active · expires Mar 22, 2027
CLIA Number25D0984523
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorAndrea L. Phillips
Laboratory Phone(601) 648-8501
Laboratory LocationPhillips Medical Services909 Westland Service Drive, Jackson, MS 39209
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Services PLLC's NPI number?

The NPI number for Phillips Medical Services PLLC is 1174792790. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Phillips Medical Services PLLC located?

Phillips Medical Services PLLC is located at 909 Ellis Ave Ste 16, Jackson, MS 39209. The listed phone number is (601) 948-8503.

What is Phillips Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Phillips Medical Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0984523) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phillips Medical Services PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Phillips Medical Services PLLC 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 Phillips Medical Services PLLC was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.