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MISS JENNY LYNN PHILLIPS PA
NPI 1720174360
Physician Assistant - Medical in Chattanooga, TN

Active since October 04, 2006PECOS Enrolled
1401 CARTER STREET SUITE 102, CHATTANOOGA, TN 37402(423) 933-3397(423) 933-3398 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Jenny Lynn Phillips Pa NPPES

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

MISS JENNY LYNN PHILLIPS PA (NPI 1720174360) is an individual medical provider in Chattanooga, Tennessee, licensed in Tennessee (PA1299) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720174360
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS JENNY LYNN PHILLIPSCredential: PA
Location Address1401 CARTER STREET SUITE 102Chattanooga, TN 37402
Mailing Address1401 Carter Street Suite 102Chattanooga, TN 37402 · (423) 933-3397 · Fax (423) 933-3398
Phone(423) 933-3397
Fax(423) 933-3398
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 11, 2018
✔ NPI 1720174360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · PA1299
1401 CARTER STREET SUITE 102, Chattanooga, TN 37402
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Other Identifiers 6

Other0140208TN · United Healthcare
Other2000307TN · Bcbs Of Tn
OtherTN0101TN · John Deere
OtherFP62706TN · Workers Comp
Medicaid3663990TN
Other970027904TN · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jenny Lynn Phillips Pa 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.

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 Jenny Phillips's NPI number?

The NPI number for Jenny Phillips is 1720174360. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jenny Phillips located?

Jenny Phillips practices at 1401 Carter Street Suite 102, Chattanooga, TN 37402. The listed phone number is (423) 933-3397.

What is Jenny Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jenny Phillips enrolled in Medicare?

Yes. Jenny Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Phillips was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.