PHILIP WITHERSPOON JR. DDS
NPI 1265578579
Dentist - General Practice in Memphis, TN

Q: What is Philip Witherspoon's NPI number?

The NPI number for Philip Witherspoon is 1265578579. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Philip Witherspoon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 30, 2007PECOS Enrolled

3890 AUSTIN PEAY HWY, MEMPHIS, TN 38128(901) 373-3894 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Philip Witherspoon Jr. Dds NPPES

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

PHILIP WITHERSPOON JR. DDS (NPI 1265578579) is an individual general practice provider in Memphis, Tennessee, licensed in Virginia (0401412853) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265578579

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePHILIP WITHERSPOON JR.Credential: DDS

Location Address3890 AUSTIN PEAY HWYMemphis, TN 38128-2501

Mailing Address3890 Austin Peay HwyMemphis, TN 38128-2501 · (901) 373-3894

Phone(901) 373-3894

Sole ProprietorNo

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJuly 17, 2017

✔ NPI 1265578579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401412853

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3890 AUSTIN PEAY HWY, Memphis, TN 38128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Witherspoon Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 38128 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 5

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

ERIC GERLACH DMD

Dentist (General Practice)