GREGORY DAVID PHILLIPS (NPI# 1568857720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568857720 |
| Entity Type | Individual |
| Full Name | GREGORY DAVID PHILLIPS |
| Credential | M.S. |
| Practice Address |
1009 Maitland Center Commons Blvd Ste 212 Maitland FL 32751-7270 |
| Practice Telephone | 4076363532 |
| Practice Fax Number | 4075409552 |
| Mailing Telephone | 4076363532 |
| Mailing Fax Number | 4075409552 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002803500 | 05 | |
| FL | 0141785-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950190 | Gregory Phillips | Registered Nurse | 14309 248th St, Rosedale, NY 11422-2139 | 2019-06-11 |
| 1033319124 | Gregory M Phillips | Physical Medicine & Rehabilitation | 74b Centennial Loop Ste 300, Neurospine Institute LLC, Eugene, OR 97401-7925 | 2007-07-18 |
| 1417022427 | Gregory Ellis Phillips | Dentist | 3180 Middle Dr, Columbus, IN 47203-2298 | 2006-11-22 |
| 1699705152 | Gregory Joseph Phillips | Internal Medicine | 724 Pennsylvania Ave, Fort Worth, TX 76104-2221 | 2006-07-03 |
| 1497743413 | Gregory Scott Phillips | Family Medicine | 382 N Main St, Sibley, LA 71073-2985 | 2005-10-13 |
| 1003442948 | Gregory Scott Phillips | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065-6007 | 2020-03-22 |
| 1649743816 | Gregory Reid Phillips | Pharmacist | 627 E 12th St, Washington, NC 27889-3408 | 2019-01-09 |
| 1942721485 | Gregory Neill Phillips | Counselor | 401 Robeson St, Fayetteville, NC 28301-5635 | 2017-07-06 |
| 1588020507 | Gregory Douglas Phillips Jr. | Psychiatry & Neurology | Unit 33100, Apo, AE 09180-3100 | 2016-01-06 |
| 1356730451 | Gregory Phillips | Counselor | 504 W Vista Way, Vista, CA 92083-5704 | 2015-01-13 |
| Street Address |
1009 MAITLAND CENTER COMMONS BLVD STE 212 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-7270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275651697 | Jill A. Williams | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2007-03-26 |
| 1043837875 | Christopher Paul Taylor Jr. | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2020-06-27 |
| 1639676869 | Minhgiang Nguyen | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-04-13 |
| 1578068565 | Devon Staropoli | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-03-29 |
| 1609379023 | Courtney Lonzetta Bonita Turner | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-03-12 |
| 1558863498 | Beatrice Lopez Masso | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-03-07 |
| 1821598244 | Megan Leone | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-02-13 |
| 1073011557 | Casee Ladonna Wright | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-01-30 |
| 1194223545 | Lawanza Taylor | Social Worker | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-01-30 |
| 1467950824 | Stacy Angela Martin | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1720476807 | Larry Toler | Case Manager/Care Coordinator | 1870 King Arthur Cir, Maitland, FL 32751-5865 | 2014-12-25 |
| 1477801389 | Natalie R Collier | Case Manager/Care Coordinator | 1009 Maitland Center Comons Blvd, Suite 212, Maitland, FL 32751 | 2012-08-27 |
| 1801387139 | Frances Angelica Jusino | Case Manager/Care Coordinator | 225 S Swoope Ave Ste 211, Maitland, FL 32751-5786 | 2018-05-22 |
| 1558863498 | Beatrice Lopez Masso | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-03-07 |
| 1467950824 | Stacy Angela Martin | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2018-01-30 |
| 1801311428 | Lenea Cyntha Carnes | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2017-08-04 |
| 1548782469 | Watisha Roby | Case Manager/Care Coordinator | 1009 Maitland Center Commons, #212, Maitland, FL 32751 | 2017-07-12 |
| 1891216651 | Angela Mclendon | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2017-07-02 |
| 1912437989 | David Dukes Jr. | Case Manager/Care Coordinator | 1009 Maitland Center Commons Blvd # Maitland, Maitland, FL 32751-7270 | 2017-06-13 |
| Find all providers in MAITLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.