P Praxis·MD
● Active Type 1 · Individual

Andrea Phillips

Prosthetist·Vidalia, GA· NPI 1619799475 · Enumerated 2024 · 1 years on NPI
Phillips is 1 of 1 prosthetist providers in Vidalia and 1 of 90 in Georgia.
NPI age
1 years
Enumerated 2024-10-31
Primary specialty
Prosthetist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 90 active prosthetist providers in Georgia.

NPI age
1 years
↓ 4 yr below median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-10Enumerated in NPPES
2024 2026

Where they practice

Practice location
704 Maple Dr
Vidalia, GA 304747221
📞 9122931883
Mailing address
704 Maple Dr
Vidalia, GA 304747221
📞 9122931883

Specialties

  • Prosthetist Primary
    A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs,...
    taxonomy 224P00000X

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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