MR. MARK PHILLIPS SR. MD
NPI 1407631468
Counselor - School in Smyrna, GA

Active since August 29, 2023
4586 VALLEY PKWY SE UNITE E, 4586 VALLEY PKWY SE UNIT E, SMYRNA, GA 30082(914) 943-1442 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mark Phillips Sr. Md NPPES

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

MR. MARK PHILLIPS SR. MD (NPI 1407631468) is an individual school provider in Smyrna, Georgia and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1407631468
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameMR. MARK PHILLIPS SR.Credential: MD
Location Address4586 VALLEY PKWY SE UNITE E, 4586 VALLEY PKWY SE UNIT ESmyrna, GA 30082
Mailing Address4586 Valley Pkwy Se Unite E, 4586 Valley Pkwy Se Unit ESmyrna, GA 30082 · (914) 943-1442
Sole ProprietorYes
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 26, 2023
NPI 1407631468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
4586 VALLEY PKWY SE UNITE E, Smyrna, GA 30082

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Family)
4586 VALLEY PKWY SE UNITE E, 4586 VALLEY PKWY SE UNIT E
SMYRNA, GA 30082

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 Mark Phillips's NPI number?

The NPI number for Mark Phillips is 1407631468. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Mark Phillips located?

Mark Phillips practices at 4586 Valley Pkwy SE Unite E 4586 Valley Pkwy SE Unit E, Smyrna, GA 30082. The listed phone number is (914) 943-1442.

What is Mark Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Mark Phillips was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.