DR. TERRY M PHILLIS JR. (NPI# 1750359030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750359030 |
| Entity Type | Individual |
| Full Name | DR. TERRY M PHILLIS JR. |
| Credential | MD |
| Practice Address |
622 Leighton Ave Anniston AL 36207 |
| Mailing Address |
Po Box 428 622 Leighton Ave Anniston AL 36207 |
| Practice Telephone | 2562376717 |
| Practice Fax Number | 2562376717 |
| Mailing Telephone | 2562376717 |
| Mailing Fax Number | 2562361920 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 21542 | AL | Other Service Providers |
| Y | 208800000X | Urology | 21542 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000076321 | 05 | |
| AL | BLUE CROSS AND BLUE SHIEL | 051076321 | 01 |
| Street Address |
622 LEIGHTON AVE |
| City | ANNISTON |
| State | AL |
| Zip Code | 36207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629346820 | Regional Medical Center Board | Urology | 622 Leighton Ave, Anniston, AL 36207-5744 | 2011-12-02 |
| 1417161456 | Anniston Urological Associates, PC | Specialist | 622 Leighton Ave, Anniston, AL 36207-5744 | 2007-05-09 |
| 1790754869 | Howard H Kitchens | Specialist | 622 Leighton Ave, Anniston, AL 36207 | 2006-03-14 |
| 1518936681 | Barry J Billings | Specialist | 622 Leighton Ave, Anniston, AL 36207 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785546 | Professional Edge Nursing, Inc | Military Health Care Provider | 600 Mary Lane, Anniston, AL 36207 | 2020-09-17 |
| 1285285064 | Savannah Taylor | Speech-Language Pathologist | 3331 Henry Road, Anniston, AL 36207 | 2019-09-24 |
| 1407359607 | Alabama Family Optometry One Hour Optical | Optometrist | 1900 Golden Springs Road, Anniston, AL 36207 | 2018-03-14 |
| 1598272593 | Elienna Unique Minnefield | Home Health Aide | 1400 Commerce Blvd., Suite 3, Anniston, AL 36207 | 2017-12-29 |
| 1508385154 | Tycoma Miller | Social Worker | 1332 Johnston Drive, Anniston, AL 36207 | 2017-09-14 |
| 1013439496 | Karri Anne Humphries | Behavioral Analyst | 217 Easy Street, Anniston, AL 36207 | 2017-07-07 |
| 1881136356 | Lance Mcconnell | Specialist/Technologist | 2111 Hwy78e Suite 2, Anniston, AL 36207 | 2016-11-15 |
| 1881053262 | Titilayo Adeoye-aremu | Pharmacist | 400 E 10th Street 4th Floor, Noland Health Services, Anniston, AL 36207 | 2016-02-15 |
| 1760840862 | Keyanna Peters | Counselor | 1525 Leighton Ave Ste B, Anniston, AL 36207 | 2016-02-03 |
| 1356517916 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 901 Keith Avenue, Anniston, AL 36207 | 2008-05-05 |
| Find all providers in zip 36207 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700120920 | Kirby Knapp Bryant Jr Jr. | Urology | 507 Hillyer High Rd, Anniston, AL 36207-6272 | 2012-11-15 |
| 1629346820 | Regional Medical Center Board | Urology | 622 Leighton Ave, Anniston, AL 36207-5744 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236549 | Clinical Urology Associates, P.C. | Urology | 7063 Veterans Pkwy Ste 100, Pell City, AL 35125-5114 | 2020-08-18 |
| 1356866693 | Clinical Urology Associates, P.C. | Urology | 740 County Road 407, Centre, AL 35960-6759 | 2017-08-08 |
| 1538534409 | Clinical Urology Associates, P.C. | Urology | 820 Pelham Rd S, Jacksonville, AL 36265-2736 | 2015-12-03 |
| 1538587076 | Adam Seth Baumgarten | Urology | 2000 6th Ave S Fl 5, Birmingham, AL 35233-2110 | 2014-04-02 |
| 1952739484 | Limestone Urology Associates | Urology | 101 Fitness Way Ste 2300, Athens, AL 35611-2480 | 2013-10-18 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1932451093 | Samuel Britt Owens | Urology | 2320 Brookwood Dr Se, Decatur, AL 35601-6176 | 2012-10-12 |
| 1245505536 | Urology Associates of North Alabama | Urology | 1874 Beltine Road, Sw, Suite 106, Decatur, AL 35601 | 2012-03-20 |
| 1487930749 | Sheridan William Shirley | Urology | 4072 Crossings Lane, Birmingham, AL 35242-4474 | 2011-10-31 |
| 1942595350 | Kyle David Wood | Urology | Uab Urology Clinic, 2000 6th Avenue South, Birmingham, AL 35233 | 2011-06-14 |
| Find all providers with the same taxonomy | ||||
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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.