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MRS. KAREN CURTIS PHILLIPS NP
NPI 1275686990
Family Medicine in Atlanta, GA

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE, ENDOCRINOLOGY SUITE 4200 - ENDOCRINOLOGY, ATLANTA, GA 30322(404) 778-3052 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Karen Curtis Phillips Np NPPES

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

MRS. KAREN CURTIS PHILLIPS NP (NPI 1275686990) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (RN116540) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1275686990
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. KAREN CURTIS PHILLIPSCredential: NP
Location Address1365 CLIFTON RD NE, ENDOCRINOLOGY SUITE 4200 - ENDOCRINOLOGYAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne, Endocrinology Suite 4200 - EndocrinologyAtlanta, GA 30322-1013 · (404) 778-3052
Phone(404) 778-3052
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1275686990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · RN116540
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.
1365 CLIFTON RD NE, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Mrs. Karen Curtis Phillips Np 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 ID7517066657
PECOS Enrollment IDI20070630000025
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
203 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
28 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services20 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims28 services$4.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

CHHAYA J GANDHI PA-C
Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Dekalb County (404) 778-3914
ELIZABETH IKEDA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-8311
MS. NIVES KERAN PA-C
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-1900
DR. ALVIN R SOLOMON M.D.
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Dekalb County (404) 727-3669
LINDSAY C GRAMER PAAA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5000
SACHIN PARIKH MD
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Dekalb County (404) 778-1856
JULIE SCHNEIDER LEVY ACNP
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
GERARD M MCGORISK MD
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5299

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 Karen Phillips's NPI number?

The NPI number for Karen Phillips is 1275686990. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Karen Phillips located?

Karen Phillips practices at 1365 Clifton Rd NE Endocrinology Suite 4200 - Endocrinology, Atlanta, GA 30322. The listed phone number is (404) 778-3052.

What is Karen Phillips's specialty?

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

Is Karen Phillips enrolled in Medicare?

Yes. Karen 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 Karen Phillips accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Karen 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 Karen Phillips was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.