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PHILIP SOUTHERN APRN, PMHNP-BC
NPI 1316746530
Nurse Practitioner - Psychiatric/Mental Health in Georgetown, TX

Active since March 10, 2025PECOS EnrolledAccepts Medicare Assignment
3626 WILLIAMS DR STE 100, GEORGETOWN, TX 78628(888) 374-5066(512) 233-2751 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Philip Southern Aprn, Pmhnp-bc NPPES

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

PHILIP SOUTHERN APRN, PMHNP-BC (NPI 1316746530) is an individual psychiatric/mental health provider in Georgetown, Texas, licensed in Texas (1190401) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316746530
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePHILIP SOUTHERNCredential: APRN, PMHNP-BC
Location Address3626 WILLIAMS DR STE 100Georgetown, TX 78628-4092
Mailing Address3626 Williams Dr Ste 100Georgetown, TX 78628-4092 · (888) 374-5066 · Fax (303) 200-8356
Phone(888) 374-5066
Fax(512) 233-2751
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1316746530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1190401
3626 WILLIAMS DR STE 100, Georgetown, TX 78628
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Philip Southern Aprn, Pmhnp-bc 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 ID5799209474
PECOS Enrollment IDI20250403003789
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 Reassignment

Medicare enrollment records show Philip Southern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Center LLC,
11 mi
Mental Health (Including Community Mental Health Center)
551 S. IH 35, SUITE 200
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 211 clinicians in this Medicare group
NPI 1427786482 (719) 540-2100

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 78628 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 6

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

MAYAJOY THODE
Nurse Practitioner (Psychiatric/Mental Health)
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628
Williamson County (512) 643-0659
WAVERLY RAE BROWN LCSW-S
Social Worker (Clinical)
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628
Williamson County (512) 643-0659
MS. ALLISON CLAIRE DOVE LMFT
Marriage & Family Therapist
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628
Williamson County (512) 643-0659
MELISSA KAYE WHITSETT LPC
Counselor (Professional)
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628
Williamson County (512) 877-4454
SARA FOGG
Counselor (Professional)
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628
Williamson County (512) 643-0659
SHIPRA SINGH MD
Psychiatry & Neurology (Psychiatry)
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628
Williamson County (512) 886-8498

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 Philip Southern's NPI number?

The NPI number for Philip Southern is 1316746530. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Philip Southern located?

Philip Southern practices at 3626 Williams Dr Ste 100, Georgetown, TX 78628. The listed phone number is (888) 374-5066.

What is Philip Southern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Philip Southern enrolled in Medicare?

Yes. Philip Southern 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 organization bills Medicare for Philip Southern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Southern reassigns Medicare benefits to Family Care Center LLC, (Round Rock, TX). The 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 Philip Southern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Southern accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Philip Southern 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 Philip Southern was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.