P Praxis·MD
● Active Type 1 · Individual

DR. Kimberly Young Phillips, MD

Family Medicine·Eatonton, GA· NPI 1477562379 · Enumerated 2006 · 19 years on NPI
Phillips is 1 of 15 family medicine providers in Eatonton and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2006-08-07
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-07-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
142 Hospital Perimeter Rd
Eatonton, GA 310248502
📞 7064851145fax 7064856025
Mailing address
142 Hospital Perimeter Rd
Eatonton, GA 310248502
📞 7064851145fax 7064856025

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #051711 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (GA) P00322240 RAILROAD MEDICARE
01 (GA) 051711 LICENSE NUMBER
05 (GA) 000954786C
01 (GA) 20-2256065 FEDERAL TAX ID
01 (GA) DE8801 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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