STACEY PHILIP
NPI 1679988059
Physician Assistant in Lawrenceville, GA

Active since June 24, 2014PECOS Enrolled
100/100
CMS Quality Rating
766 WALTHER RD STE 100, LAWRENCEVILLE, GA 30046(678) 312-9100 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacey Philip NPPES

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

STACEY PHILIP (NPI 1679988059) is an individual physician assistant in Lawrenceville, Georgia and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679988059
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY PHILIP
Location Address766 WALTHER RD STE 100Lawrenceville, GA 30046-8765
Mailing Address766 Walther Rd Ste 100Lawrenceville, GA 30046-8765 · (678) 312-9100
Sole ProprietorNo
Enumeration DateJune 24, 2014
NPI 1679988059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

766 WALTHER RD STE 100, Lawrenceville, GA 30046

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacey Philip 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Physician Assistant (Surgical)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Acute Care)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Acute Care)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Acute Care)
766 WALTHER RD STE 100
LAWRENCEVILLE, GA 30046

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 Stacey Philip's NPI number?

The NPI number for Stacey Philip is 1679988059. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Stacey Philip located?

Stacey Philip practices at 766 Walther Rd Ste 100, Lawrenceville, GA 30046. The listed phone number is (678) 312-9100.

What is Stacey Philip's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Philip enrolled in Medicare?

Yes. Stacey Philip is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Philip was last updated on June 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.