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: August 09, 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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Practitioner (Family)
1812 E MAIN ST
DOTHAN, AL 36301
Physician Assistant
1812 E MAIN ST
DOTHAN, AL 36301
Psychiatry & Neurology (Neurology)
1812 E MAIN ST
DOTHAN, AL 36301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1812 E MAIN ST
DOTHAN, AL 36301
Physician Assistant (Surgical)
1812 E MAIN ST
DOTHAN, AL 36301
Nurse Practitioner (Family)
1812 E MAIN ST
DOTHAN, AL 36301
Surgery
1812 E MAIN ST
DOTHAN, AL 36301
Neurological Surgery
1812 E MAIN ST
DOTHAN, AL 36301

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.

What insurance does Kimberly Phillips accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Oscar Insurance Company and 1 other insurer list Kimberly 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 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.