SUSIE B PHILLIPS MD
NPI 1932463312
Pediatrics in Jackson, MS
About Susie B Phillips Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSIE B PHILLIPS MD (NPI 1932463312) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (23466) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Susie B Phillips Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Susie Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Susie Phillips's NPI number?
The NPI number for Susie Phillips is 1932463312. It was assigned to this individual provider in the NPPES registry on June 29, 2012.
Where is Susie Phillips located?
Susie Phillips practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-2940.
What is Susie Phillips's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Susie Phillips enrolled in Medicare?
Yes. Susie 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.
Which organization bills Medicare for Susie Phillips's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susie Phillips reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susie Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susie Phillips accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Susie Phillips 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.
When was this NPI record last updated?
The NPPES record for Susie Phillips was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Susie B Phillips, MD · NPI 1932463312
Pediatrics physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 29, 2012.
## Identity
- **NPI:** 1932463312 (Entity type: Individual)
- **Enumerated:** June 29, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 23466 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-2940 · **Fax:** (601) 984-2926
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2012
## Record status
- **NPPES last updated:** May 9, 2017
- **Other identifiers:** Medicaid 01022856 (MS); Medicaid 194754 (AL); Medicare PIN 415844YS8T (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1932463312) · Data from the CMS NPPES public registry.