TRAVIS PEMELTON PHILLIPS (NPI# 1881707057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881707057 |
| Entity Type | Individual |
| Full Name | TRAVIS PEMELTON PHILLIPS |
| Credential | D.M.D. |
| Practice Address |
1695 Golden Springs Rd Anniston AL 36207-7097 |
| Practice Telephone | 2568311333 |
| Practice Fax Number | 2568311837 |
| Mailing Telephone | 2568311333 |
| Mailing Fax Number | 2568311837 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4871 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | UNITED CONCORDIA | 971939 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51520429 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1740377522 | Travis R Phillips | Dentist | 502 North Wells, Edna, TX 77957 | 2006-10-05 |
| 1407957616 | Travis Phillips | Internal Medicine | 1030 Jefferson Avenue, Memphis, TN 38104 | 2006-09-26 |
| Street Address |
1695 GOLDEN SPRINGS RD |
| City | ANNISTON |
| State | AL |
| Zip Code | 36207-7097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854611 | Austin T Davis | Dentist | 1695 Golden Springs Rd, Anniston, AL 36207-7097 | 2020-06-02 |
| 1043879547 | Colson T Smith | Dentist | 1695 Golden Springs Rd, Anniston, AL 36207-7097 | 2019-06-07 |
| 1063852952 | Lucas T Griffin | Dentist | 1695 Golden Springs Rd, Anniston, AL 36207-7097 | 2013-06-25 |
| 1568702074 | Travis P. Phillips, Dmd, LLC | Dentist | 1695 Golden Springs Rd, Anniston, AL 36207-7097 | 2013-02-20 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845264 | Elizabeth Anne Pickering | Dentist | 609 Golden Springs Rd, Anniston, AL 36207-6911 | 2020-06-15 |
| 1134358930 | Karl Lindsey Monroe | Dentist | 1108 Woodstock Ave, Anniston, AL 36207-4709 | 2009-07-14 |
| 1063675924 | John Andrews Flannagan | Dentist | 1115 Christine Ave, Anniston, AL 36207-4657 | 2008-07-09 |
| 1316137110 | Larry Burkard Butler | Dentist | 1029 Leighton Ave, Anniston, AL 36207-5701 | 2007-07-27 |
| 1336366152 | David Walter Cummings | Dentist | 1127 Leighton Ave, Anniston, AL 36207-4610 | 2007-04-20 |
| 1265567978 | Thomas D. Sharp | Dentist | 100 E 7th St, Anniston, AL 36201-5644 | 2007-02-22 |
| 1396825170 | Roger Dale Gibbs | Dentist | 711 E 10th St, Ste D, Anniston, AL 36207-4776 | 2006-10-16 |
| 1790899367 | Wallace C Price | Dentist | 3310 Henry Rd, Anniston, AL 36207-6344 | 2006-08-19 |
| 1861018657 | Caitlin S. Jones, D.m.d., LLC | Dentist | 1127 Leighton Ave, Anniston, AL 36207-4610 | 2020-06-17 |
| 1407471444 | Caitlin Schaefer Jones | Dentist | 1127 Leighton Ave, Anniston, AL 36207-4610 | 2020-06-16 |
| Find all providers in ANNISTON | ||||
Please comment or provide details below to improve the information on TRAVIS PEMELTON 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.