PHILLIP R JR. INGRAM (MD) – Family Medicine Physician, NPI 1255950994

PHILLIP R JR. INGRAM (MD) is a healthcare provider. based in Huntsville, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 43217 (AL). The NPI Number for PHILLIP R JR. INGRAM (MD) is 1255950994

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP R JR. INGRAM (MD)
NPI
1255950994
Phone
(256) 551-4631
Address
301 GOVERNORS DR SW
Enumeration Date
13 April 2020
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2562169777
Graduation Year
2020 (6 years ago)
PAC ID
7315360005
Group Practice PAC ID
3577832542
Professional Enrollment ID
I20230629000775
Address ID
AL356112438AT902XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,756 FAMILY PRACTICE in AL

Provider Addresses for PHILLIP R JR. INGRAM (MD)

  • 301 GOVERNORS DR SW

    HUNTSVILLE, AL 358015123

    Phone: (256) 551-4631

    Fax: (256) 551-4633

    Type: Location

  • 902 W WASHINGTON ST

    ATHENS, AL 356112438

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,500.

Total Amount is formed as General ($1,500) + Research ($0) + Ownership ($0) = $1,500.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($304).

Total Amount

$1,500

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230629000775IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6949$0
J1100Injection, dexamethasone sodium phosphate, 1 mg6815$0
J0696Injection, ceftriaxone sodium, per 250 mg6516$0
99213Established patient office or other outpatient visit, 20-29 minutes4841$0
96372Injection of drug or substance under skin or into muscle3120$0
View full utilization report →

Insurance plans in this area (ZIP 35801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577832542View full group profile
NameSpecialtyState
Family PracticeAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerTN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows PHILLIP R JR. INGRAM (MD) across health systems?
The NPI 1255950994 uniquely identifies PHILLIP R JR. INGRAM (MD) in U.S. healthcare data.
Should I treat PHILLIP R JR. INGRAM (MD) as an active provider?
Patients and plans typically see PHILLIP R JR. INGRAM (MD) as active in the national extract.
What type of care does PHILLIP R JR. INGRAM (MD) provide?
PHILLIP R JR. INGRAM (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit PHILLIP R JR. INGRAM (MD) in Huntsville, Alabama?
For routing, start with Huntsville, Alabama for PHILLIP R JR. INGRAM (MD), then verify phone and hours locally.
Why is information missing for PHILLIP R JR. INGRAM (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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