Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESTINY PHILLIPS
NPI 1912795055
Nurse Practitioner - Family in Adairsville, GA

Active since April 29, 2025PECOS EnrolledAccepts Medicare Assignment
21 COMMERCE PKWY, ADAIRSVILLE, GA 30103(770) 773-9201(770) 773-9219 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Sep 9, 2025 (2 updates tracked since 2025).

About Destiny Phillips NPPES

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

DESTINY PHILLIPS (NPI 1912795055) is an individual family provider in Adairsville, Georgia, licensed in Georgia (APRN-NP295096) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Redmond Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912795055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESTINY PHILLIPS
Location Address21 COMMERCE PKWYAdairsville, GA 30103-2009
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800
Fax(770) 773-9219
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 29, 2025
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1912795055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · APRN-NP295096
21 COMMERCE PKWY, Adairsville, GA 30103

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

Destiny Phillips 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 ID1456857309
PECOS Enrollment IDI20250930004572
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.

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30103 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 13

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

Family Medicine
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103
Family Medicine
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103
Nurse Practitioner
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103
Nurse Practitioner (Family)
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103
Family Medicine
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103
Nurse Practitioner
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103
Nurse Practitioner (Family)
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103
Family Medicine
21 COMMERCE PKWY
ADAIRSVILLE, GA 30103

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 Destiny Phillips's NPI number?

The NPI number for Destiny Phillips is 1912795055. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Destiny Phillips located?

Destiny Phillips practices at 21 Commerce Pkwy, Adairsville, GA 30103. The listed phone number is (770) 773-9201.

What is Destiny Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Destiny Phillips enrolled in Medicare?

Yes. Destiny Phillips 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.

Is Destiny Phillips affiliated with any hospitals?

According to CMS data, Destiny Phillips is affiliated with Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Destiny Phillips was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.