JESSICA PHILLIPS (NPI# 1811527773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811527773 |
| Entity Type | Individual |
| Full Name | JESSICA PHILLIPS |
| Practice Address |
5341 Highway 20 S Covington GA 30016-4409 |
| Mailing Address |
1301 Bethany Church Rd Madison GA 30650-5021 |
| Practice Telephone | 7707884008 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH025977 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1598127144 | Jessica Lynn Hadwin Phillips | Student in an Organized Health Care Education/Training Program | 1025 Walnut St Rm 516, Philadelphia, PA 19107-5001 | 2016-03-23 |
| 1881912376 | Jessica Megan Phillips | Dentist | 1103 Callahan Dr, Knoxville, TN 37912-1310 | 2010-05-10 |
| 1578739694 | Jessica Michelle Phillips | Occupational Therapist | 1410 W. Daisy Bates, Little Rock, AR 72202-5434 | 2008-05-08 |
| 1174130462 | Jessica Lemoine Phillips | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-30 |
| 1457963878 | Jessica Lynn Phillips | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-18 |
| 1699303222 | Jessica Leigh Phillips | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2020-03-30 |
| 1215575477 | Jessica Phillips | Behavior Technician | 2770 Carpenter Rd, Ann Arbor, MI 48108-4104 | 2019-12-18 |
| 1033755111 | Jessica Phillips | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2019-11-22 |
| 1699231746 | Jessica N Phillips | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2019-02-13 |
| Street Address |
5341 HIGHWAY 20 S |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457385296 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 5341 Highway 20 S, Covington, GA 30016-4409 | 2006-07-10 |
| 1871191353 | Paige Trammell | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-10-15 |
| 1245864214 | Mahlon Lynn Davidson | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-02-27 |
| 1790318129 | Ryan Alexander Slack | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021366 | Tyler Vanway | Pharmacist | 1525 Madison Ave, Covington, KY 41011-3315 | 2020-10-20 |
| 1962001016 | Charles Guerrero | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1679172712 | Mark Joseph Faulkner | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| 1871191353 | Paige Trammell | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-10-15 |
| 1548868292 | Musau Kithome | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-10-14 |
| 1245864214 | Mahlon Lynn Davidson | Pharmacist | 5341 Highway 20 S, Covington, GA 30016-4409 | 2020-02-27 |
| 1003447087 | Tanika Hood | Pharmacist | 3700 Salem Rd, Covington, GA 30016-4527 | 2020-01-29 |
| 1891326997 | Autumn Aldridge | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-28 |
| 1508496936 | Heidi Howard | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-01-24 |
| 1922646900 | Stanley Craig Elliott | Pharmacist | 951 Highway 51 N, Covington, TN 38019-1702 | 2019-12-20 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on JESSICA PHILLIPS.
| 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.