MS. MARCIA ANGELLA PHILLIPS PMHNP-BC
NPI 1568907822
Nurse Practitioner - Psychiatric/Mental Health in Conyers, GA

Active since December 22, 2016PECOS Enrolled
1804 OVER LAKE DR SE STE B, CONYERS, GA 30013(770) 954-8685(770) 389-3030 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 1, 2026, Mar 2, 2022, May 13, 2021 and 2 more (5 updates tracked since 2016).

About Ms. Marcia Angella Phillips Pmhnp-bc NPPES

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

MS. MARCIA ANGELLA PHILLIPS PMHNP-BC (NPI 1568907822) is an individual psychiatric/mental health provider in Conyers, Georgia, licensed in Georgia (RN195731) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568907822
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MARCIA ANGELLA PHILLIPSCredential: PMHNP-BC
Location Address1804 OVER LAKE DR SE STE BConyers, GA 30013-1788
Mailing Address250 Corporate Center CtStockbridge, GA 30281-6388 · (770) 954-8685 · Fax (770) 389-3030
Fax(770) 389-3030
Sole ProprietorYes
Enumeration DateDecember 22, 2016
Last NPPES UpdateSeptember 1, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1568907822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN195731
Also ListedRegistered NurseTaxonomy 163W00000X · License RN195731 (GA)
1804 OVER LAKE DR SE STE B, Conyers, GA 30013

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marcia Angella Phillips Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Marcia Phillips reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1804 OVER LAKE DR SE STE B
Conyers, GA 30013
  • Reassigned Medicare billing, Georgia enrollment
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Community/Behavioral Health
126 ENTERPRISE PATH, SUITE #202
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Highland Rivers Community Service Board
  • 142 clinicians in this Medicare group

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 30013 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.

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
1804 OVER LAKE DR SE STE B
CONYERS, GA 30013

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 Marcia Phillips's NPI number?

The NPI number for Marcia Phillips is 1568907822. It was assigned to this individual provider in the NPPES registry on December 22, 2016.

Where is Marcia Phillips located?

Marcia Phillips practices at 1804 Over Lake Dr SE Ste B, Conyers, GA 30013. The listed phone number is (770) 954-8685.

What is Marcia Phillips's specialty?

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

Is Marcia Phillips enrolled in Medicare?

Yes. Marcia Phillips is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marcia Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcia Phillips reassigns Medicare benefits to 4 organizations: Staywell Healthcare LLC (Conyers, GA), Personal Recovery Network LLC (Stockbridge, GA), Grady Memorial Hospital Corporation (Atlanta, GA) and Highland Rivers Csb (Hiram, GA). Each 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 Marcia Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcia Phillips accept?

Health plans from Oscar Health and UnitedHealthcare list Marcia 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 Marcia Phillips was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.