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KIMBERLY DAWN PHILLIPS NURSE PRACTITIONER
NPI 1205249869
Nurse Practitioner - Family in Dothan, AL

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
1812 E MAIN ST, DOTHAN, AL 36301(334) 792-5184 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Dawn Phillips Nurse Practitioner NPPES

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

KIMBERLY DAWN PHILLIPS NURSE PRACTITIONER (NPI 1205249869) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-074781) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dothan, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205249869
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY DAWN PHILLIPSCredential: NURSE PRACTITIONER
Location Address1812 E MAIN STDothan, AL 36301-3000
Mailing Address1812 E Main StDothan, AL 36301-3000 · (334) 792-5184
Phone(334) 792-5184
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 11, 2014
Last NPPES UpdateApril 19, 2018
✔ NPI 1205249869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-074781
1812 E MAIN ST, Dothan, AL 36301
Open in Google Maps ↗

Secondary Practice Location 1

Location 11108 Ross Clark CirDothan, AL 36301-3022 · Phone (334) 793-8111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Dawn Phillips Nurse Practitioner 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 ID1254559024
PECOS Enrollment IDI20140820002595
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kimberly Phillips reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston County Healthcare Authority
0.1 mi
Family Medicine
1806 FAIRVIEW AVE
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1023167962 (334) 677-5986
Northern Alabama Physicians, LLP
5.6 mi
Hospitalist
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
NPI 1992178628 (334) 793-5000
Enterprise Clinic LLC
30 mi
Family Medicine
101 E BRUNSON ST STE 300
Enterprise, AL 36330
  • Reassigned Medicare billing, Alabama enrollment
  • 13 clinicians in this Medicare group
NPI 1639491616 (332) 393-3212
Ch Mssp Services Al LLC
172 mi
Internal Medicine
1 PERIMETER PARK S STE 100N
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 48 clinicians in this Medicare group
NPI 1063111979 (337) 408-0797
Remedy Behavioral Health, LLC
281 mi
Psychiatry
120 S LOCUST ST
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 68 clinicians in this Medicare group
NPI 1013517317 (256) 320-7781

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 9

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

JULIA JONES HOLLOWAY
Nurse Practitioner (Family)
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 792-5184
NATALIE STOKES BAREFIELD P.A.-C
Physician Assistant
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 792-5184
DAMON PATTERSON MD
Psychiatry & Neurology (Neurology)
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 793-8804
HOUSTON COUNTY HEALTHCARE AUTHORITY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 794-2825
MRS. LORI HARRIS STOCKDALE PA-C
Physician Assistant (Surgical)
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 794-2825
KYRIA NEAL CRNP
Nurse Practitioner (Family)
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 793-8804
HOUSTON COUNTY HEALTHCARE AUTHORITY
Surgery
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 792-5184
DR. CHRISTOPHER DWAIN HARGETT D.O.
Neurological Surgery
1812 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 790-4477

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 Kimberly Phillips's NPI number?

The NPI number for Kimberly Phillips is 1205249869. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Kimberly Phillips located?

Kimberly Phillips practices at 1812 E Main St, Dothan, AL 36301. The listed phone number is (334) 792-5184.

What is Kimberly Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Phillips enrolled in Medicare?

Yes. Kimberly Phillips 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.

Which organizations bill Medicare for Kimberly Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Phillips reassigns Medicare benefits to 5 organizations: Houston County Healthcare Authority (Dothan, AL), Northern Alabama Physicians, LLP (Dothan, AL), Enterprise Clinic LLC (Enterprise, AL), Ch Mssp Services Al LLC (Birmingham, AL) and Remedy Behavioral Health, LLC (Florence, AL). Each 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 Kimberly Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Phillips was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.