1. Home
  2. Directory
  3. Mississippi
  4. Petal
  5. Family Medicine
  6. NPI Profile

PHILLIP MATTHEW EZELL FNP-BC, AGACNP-BC
NPI 1689453524
Family Medicine - Adult Medicine in Petal, MS

Active since September 28, 2023PECOS EnrolledAccepts Medicare Assignment
908 S GEORGE AVE, PETAL, MS 39465(601) 544-7441 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillip Matthew Ezell Fnp-bc, Agacnp-bc NPPES

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

PHILLIP MATTHEW EZELL FNP-BC, AGACNP-BC (NPI 1689453524) is an individual adult medicine provider in Petal, Mississippi, licensed in Mississippi (905839) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1689453524
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NamePHILLIP MATTHEW EZELLCredential: FNP-BC, AGACNP-BC
Location Address908 S GEORGE AVEPetal, MS 39465-2077
Mailing Address670 Weathersby Rd Ste 140Hattiesburg, MS 39402-9586 · (601) 318-0669 · Fax (601) 994-6001
Phone(601) 544-7441
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022
Enumeration DateSeptember 28, 2023
Last NPPES UpdateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1689453524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MS · 905839
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 905839 (MS)
908 S GEORGE AVE, Petal, MS 39465
Open in Google Maps ↗

Secondary Practice Location 1

Location 1670 Weathersby Rd Ste 140Hattiesburg, MS 39402-9586 · Phone (601) 318-0669 · Fax (601) 994-6001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip Matthew Ezell Fnp-bc, Agacnp-bc 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 ID749639466
PECOS Enrollment IDI20231206003598
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39465 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Phillip Ezell's NPI number?

The NPI number for Phillip Ezell is 1689453524. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Phillip Ezell located?

Phillip Ezell practices at 908 S George Ave, Petal, MS 39465. The listed phone number is (601) 544-7441.

What is Phillip Ezell's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Phillip Ezell enrolled in Medicare?

Yes. Phillip Ezell 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.

What insurance does Phillip Ezell accept?

Health plans from Molina Healthcare list Phillip Ezell 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.

Is Phillip Ezell affiliated with any hospitals?

According to CMS data, Phillip Ezell is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Ezell was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.