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

Q: 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.

Q: What is Destiny Phillips's specialty?

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

Q: 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 3 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.

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: November 08, 2026.

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

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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

Phone(770) 773-9201

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Destiny Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Health System Georgia Inc

9.2 mi

Multi-Specialty

1035 RED BUD RD NE
Calhoun, GA 30701

Reassigned Medicare billing, Georgia enrollment
384 clinicians in this Medicare group

NPI 1699791343 (706) 602-7800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ELISA JARAMILLO-MAYOR M.D., M.P.H.

Family Medicine