DR. MARY ADDISON PHILLIPS MD
NPI 1619869757
Student in an Organized Health Care Education/Training Program in North Little Rock, AR
About Dr. Mary Addison Phillips Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY ADDISON PHILLIPS MD (NPI 1619869757) is an individual student in an organized health care education/training program in North Little Rock, Arkansas and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mary Addison Phillips Md 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.
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
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 Mary Phillips's NPI number?
The NPI number for Mary Phillips is 1619869757. It was assigned to this individual provider in the NPPES registry on July 15, 2025. The provider is also known as Miss Mary Addison Wadsworth.
Where is Mary Phillips located?
Mary Phillips practices at 3201 Springhill Dr Ste 100, North Little Rock, AR 72117. The listed phone number is (501) 955-4530.
What is Mary Phillips's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mary Phillips enrolled in Medicare?
Yes. Mary Phillips is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Phillips was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mary Addison Phillips, MD · NPI 1619869757
Student in an Organized Health Care Education/Training Program provider in North Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since July 15, 2025.
## Identity
- **NPI:** 1619869757 (Entity type: Individual)
- **Enumerated:** July 15, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3201 SPRINGHILL DR STE 100, North Little Rock, AR 72117-2905
- **Phone:** (501) 955-4530
## 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:** April 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619869757) · Data from the CMS NPPES public registry.