STACEY PHILIP
NPI 1679988059
Physician Assistant in Lawrenceville, GA
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, is affiliated with Montefiore Medical Center, and is a graduate of Other (2014).
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)
Stacey Philip is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYPhysician 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.
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.
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.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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.
Is Stacey Philip affiliated with any hospitals?
According to CMS data, Stacey Philip is affiliated with Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Stacey Philip was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Stacey Philip · NPI 1679988059
Physician Assistant physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since June 24, 2014.
## Identity
- **NPI:** 1679988059 (Entity type: Individual)
- **Enumerated:** June 24, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 766 WALTHER RD STE 100, Lawrenceville, GA 30046-8765
- **Phone:** (678) 312-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 24, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1679988059) · Data from the CMS NPPES public registry.