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DR. PHAETHON PHILBROOK MD, PHD
NPI 1730930850
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since March 27, 2024PECOS Enrolled
1364 CLIFTON RD NE STE D112, ATLANTA, GA 30322(404) 712-4686 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phaethon Philbrook Md, Phd NPPES

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

DR. PHAETHON PHILBROOK MD, PHD (NPI 1730930850) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1730930850
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PHAETHON PHILBROOKCredential: MD, PHD
Location Address1364 CLIFTON RD NE STE D112Atlanta, GA 30322-1059
Mailing Address1364 Clifton Rd Ne Ste D112Atlanta, GA 30322-1059
Phone(404) 712-4686
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1730930850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1364 CLIFTON RD NE STE D112, Atlanta, GA 30322
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Secondary Practice Location 1

Location 11430 Tulane Ave # 8050New Orleans, LA 70112-2632 · Phone (504) 988-7810 · Fax (504) 988-3971

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. Phaethon Philbrook Md, Phd 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.

Other Providers at the Same Location NPPES 9

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

DR. JAMES SU MD
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (404) 712-5287
DR. BISOLA W SALISU MD, MHS
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (404) 712-4686
ANTHONY ANDRES RODRIGUEZ DEPALMA MD
Radiology (Vascular & Interventional Radiology)
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (044) 712-5287
HANZHOU LI
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (404) 712-5287
AGNI CHANDORA M.D.
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (205) 934-0924
DR. NEIL ROHIT SHAH MD, MPH
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (404) 712-5287
DANIKA BASKAR MD
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (404) 712-4686
MR. ENOCH K ASIEDU PA-C
Radiology (Vascular & Interventional Radiology)
1364 CLIFTON RD NE STE D112
ATLANTA, GA 30322
Dekalb County (718) 920-5013

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 Phaethon Philbrook's NPI number?

The NPI number for Phaethon Philbrook is 1730930850. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Phaethon Philbrook located?

Phaethon Philbrook practices at 1364 Clifton Rd NE Ste D112, Atlanta, GA 30322. The listed phone number is (404) 712-4686.

What is Phaethon Philbrook's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phaethon Philbrook enrolled in Medicare?

Yes. Phaethon Philbrook is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phaethon Philbrook was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.