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TRACY LYNN PHILLIPS AGCNS-BC
NPI 1417614918
Clinical Nurse Specialist - Gerontology in Augusta, GA

Active since November 19, 2021
1120 15TH ST, AUGUSTA, GA 30912(706) 446-5534 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Lynn Phillips Agcns-bc NPPES

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

TRACY LYNN PHILLIPS AGCNS-BC (NPI 1417614918) is an individual gerontology provider in Augusta, Georgia, licensed in South Carolina (23860) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1417614918
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameTRACY LYNN PHILLIPSCredential: AGCNS-BC
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1942 Joyner Pond RdAiken, SC 29803-9512 · (219) 477-9408
Phone(706) 446-5534
Sole ProprietorNo
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1417614918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in SC · 23860
1120 15TH ST, Augusta, GA 30912
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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.

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Tracy Phillips's NPI number?

The NPI number for Tracy Phillips is 1417614918. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Tracy Phillips located?

Tracy Phillips practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 446-5534.

What is Tracy Phillips's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

When was this NPI record last updated?

The NPPES record for Tracy Phillips was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.