PHILLIPS MEDICAL SERVICES PLLC
NPI 1174792790
Family Medicine in Jackson, MS
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phillips Medical Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillips Medical Services PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MSFrequently 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.
Is Phillips Medical Services PLLC enrolled in Medicare?
Yes. Phillips Medical Services PLLC is registered in the Medicare PECOS enrollment system.
When is Phillips Medical Services PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Phillips Medical Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Phillips Medical Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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.
# Phillips Medical Services Pllc · NPI 1174792790
Family Medicine organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since February 27, 2008.
## Identity
- **NPI:** 1174792790 (Entity type: Organization)
- **Enumerated:** February 27, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Tricia Duncan, BILLER
## Practice location
- **Address:** 909 ELLIS AVE STE 16, Jackson, MS 39209-6256
- **Phone:** (601) 948-8503 · **Fax:** (601) 948-8502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2014
- **Other identifiers:** Medicaid 00116024 (MS); Medicare PIN 512G700212 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174792790) · Data from the CMS NPPES public registry.