DR. LYNETTE ROCHELLE WILSON-PHILLIPS M.D.
NPI 1992769269
Pediatrics in Clarkston, GA

Active since April 13, 2006PECOS Enrolled
4112 E PONCE DE LEON AVE, CLARKSTON, GA 30021(404) 296-7133(404) 501-9744 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lynette Rochelle Wilson-phillips M.d. NPPES

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

DR. LYNETTE ROCHELLE WILSON-PHILLIPS M.D. (NPI 1992769269) is an individual pediatrics provider in Clarkston, Georgia, licensed in Georgia (038132) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992769269
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LYNETTE ROCHELLE WILSON-PHILLIPSCredential: M.D.
Location Address4112 E PONCE DE LEON AVEClarkston, GA 30021-1817
Mailing Address5268 Sandy Shores CtLithonia, GA 30038-3957 · (404) 405-6863 · Fax (404) 501-9744
Fax(404) 501-9744
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateSeptember 19, 2011
NPI 1992769269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in GA · 038132
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4112 E PONCE DE LEON AVE, Clarkston, GA 30021

Other Identifiers 2

Medicaid000681106BGA
Medicaid000681106CGA

Accepted Insurance

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. Lynette Rochelle Wilson-phillips M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30021 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Nurse Practitioner (Pediatrics)
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Nurse Practitioner (Pediatrics)
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Nurse Practitioner (Family)
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021

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 Lynette Wilson-phillips's NPI number?

The NPI number for Lynette Wilson-phillips is 1992769269. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Lynette Wilson-phillips located?

Lynette Wilson-phillips practices at 4112 E Ponce De Leon Ave, Clarkston, GA 30021. The listed phone number is (404) 296-7133.

What is Lynette Wilson-phillips's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lynette Wilson-phillips enrolled in Medicare?

Yes. Lynette Wilson-phillips is registered in the Medicare PECOS enrollment system.

What insurance does Lynette Wilson-phillips accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lynette Wilson-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 Lynette Wilson-phillips was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.