MRS. MARY PHILLIPS KING (CRNP) – Adult Health Nurse Practitioner, NPI 1477042745

MRS. MARY PHILLIPS KING (CRNP) is a healthcare provider. based in Anniston, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-136738 (AL). The NPI Number for MRS. MARY PHILLIPS KING (CRNP) is 1477042745

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY PHILLIPS KING (CRNP)
NPI
1477042745
Phone
(256) 237-0025
Address
1131 LEIGHTON AVE
Enumeration Date
2 May 2018
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059717500
Graduation Year
2017 (9 years ago)
PAC ID
0941550719
Group Practice PAC ID
1658680434
Professional Enrollment ID
I20191009001614
Address ID
AL352433411BI3680XPKWY301
Telehealth
Yes

Contacts

Secure Messaging
maryphillips@direct.uabmedicine.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MRS. MARY PHILLIPS KING (CRNP)

  • 1131, Leighton Avenue, Anniston, Calhoun County, Alabama, 36207, United States

    ANNISTON, AL 362074610

    Phone: (256) 237-0025

    Fax: (256) 237-4795

    Type: Location

  • 1131 Leighton Ave

    Anniston, AL 362074610

    Phone: (256) 237-0025

    Fax: (256) 237-4795

    Type: Location

  • 620 19 th Street South

    Birmingham, AL 35233

    Phone: (205) 975-1888

    Type: Location

  • 3680 GRANDVIEW PKWY STE 200

    BIRMINGHAM, AL 352433411

    Phone: (205) 971-7500

    Fax: (205) 971-7571

    Type: Location

  • 3608, Mary Lane, Frances Heights, Fultondale, Jefferson County, Alabama, 35068, United States

    FULTONDALE, AL 350681063

    Phone: (205) 542-2646

    Fax: (205) 971-7571

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $481.

Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($93).

Total Amount

$481

General + Research + Ownership

Payments

24

Total payment records

General Amount

$481

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

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: 2019-10-09

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
I20191009001614INurse PractitionerALTBD

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 minutes9593$0
99213Established patient office or other outpatient visit, 20-29 minutes4240$0
View full utilization report →

Insurance plans in this area (ZIP 36207)

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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: 1658680434View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Cardiovascular Disease (Cardiology)IL
Nurse PractitionerAL
-AL
Cardiovascular Disease (Cardiology)AL
Cardiovascular Disease (Cardiology), Interventional CardiologyAL
-AL

Reviews

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Frequently asked questions

Can I cross-check MRS. MARY PHILLIPS KING (CRNP) using NPI 1477042745?
NPI 1477042745 belongs to MRS. MARY PHILLIPS KING (CRNP); compare other details if you need extra assurance.
Would MRS. MARY PHILLIPS KING (CRNP) appear as active to a payer?
You can treat MRS. MARY PHILLIPS KING (CRNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. MARY PHILLIPS KING (CRNP)?
MRS. MARY PHILLIPS KING (CRNP)'s specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. MARY PHILLIPS KING (CRNP) associated with Anniston?
Public fields place MRS. MARY PHILLIPS KING (CRNP) around Anniston, Alabama. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. MARY PHILLIPS KING (CRNP) is noted as May 2, 2018 where the registry provides it.

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