PHILIP MARDOCK
NPI 1447900949
Student in an Organized Health Care Education/Training Program in Augusta, GA
About Philip Mardock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP MARDOCK (NPI 1447900949) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Mardock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Mardock's NPI number?
The NPI number for Philip Mardock is 1447900949. It was assigned to this individual provider in the NPPES registry on March 27, 2022.
Where is Philip Mardock located?
Philip Mardock practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-0211.
What is Philip Mardock's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Philip Mardock enrolled in Medicare?
Yes. Philip Mardock is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Philip Mardock was last updated on November 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.
# Philip Mardock · NPI 1447900949
Student in an Organized Health Care Education/Training Program provider in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since March 27, 2022.
## Identity
- **NPI:** 1447900949 (Entity type: Individual)
- **Enumerated:** March 27, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0004
- **Phone:** (706) 721-0211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447900949) · Data from the CMS NPPES public registry.