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MRS. PAYTON BROOK PHILLIPS
NPI 1609720887
Nurse Practitioner - Primary Care in Guntersville, AL

Active since February 24, 2026PECOS EnrolledAccepts Medicare Assignment
38 ROWE DR, GUNTERSVILLE, AL 35976(256) 571-8460 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Payton Brook Phillips NPPES

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

MRS. PAYTON BROOK PHILLIPS (NPI 1609720887) is an individual primary care provider in Guntersville, Alabama, licensed in Alabama (1-179413) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609720887
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. PAYTON BROOK PHILLIPS
Location Address38 ROWE DRGuntersville, AL 35976-7367
Mailing Address3125 Al Highway 168Boaz, AL 35957-3878
Phone(256) 571-8460
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1609720887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AL · 1-179413
38 ROWE DR, Guntersville, AL 35976
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.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

Mrs. Payton Brook Phillips 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 ID2163981671
PECOS Enrollment IDI20260825004892
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 Payton Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeside North Family Medicine, LLC
0.6 mi
Family Medicine
38 ROWE DR
Guntersville, AL 35976
  • Reassigned Medicare billing, Alabama enrollment
  • 8 clinicians in this Medicare group
NPI 1245809896 (256) 571-8460

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 35976 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 12

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

COMMUNITY URGENT CARE LAKESIDE NORTH
Clinic/Center (Urgent Care)
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8460
HOLLIE LANE SIMS
Nurse Practitioner (Family)
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8460
LAKESIDE NORTH FAMILY MEDICINE, LLC
Family Medicine
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8460
MRS. RACHEL CAROLE GEORGE CRNP
Nurse Practitioner (Family)
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8460
CHERYL ANN HUBBARD MSN, CRNP
Nurse Practitioner (Family)
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8460
MRS. WHITNEY BETH GORE CRNP
Nurse Practitioner (Family)
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8460
MARSHALL ORTHOPEDICS PC
Specialist
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8913
MARSHALL MEDICAL CENTER NORTH MEDICAL CENTERS BEHAVIORAL HEALTH CLINIC
Psychiatry & Neurology (Psychiatry)
38 ROWE DR
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8717

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 Payton Phillips's NPI number?

The NPI number for Payton Phillips is 1609720887. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Payton Phillips located?

Payton Phillips practices at 38 Rowe Dr, Guntersville, AL 35976. The listed phone number is (256) 571-8460.

What is Payton Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Payton Phillips enrolled in Medicare?

Yes. Payton Phillips 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 Payton Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payton Phillips reassigns Medicare benefits to Lakeside North Family Medicine, LLC (Guntersville, AL). 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 Payton Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payton Phillips accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Payton 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 Payton Phillips was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.