DR. PAUL KENNETH PHILLIPS (MD) – Psychiatry Physician, NPI 1427051937

DR. PAUL KENNETH PHILLIPS (MD) is a healthcare provider. based in Panama city, Florida. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 01056981A (IN). The NPI Number for DR. PAUL KENNETH PHILLIPS (MD) is 1427051937

Main info

Male
49 Years Of Experience
Name
DR. PAUL KENNETH PHILLIPS (MD)
NPI
1427051937
Phone
(850) 763-0017
Address
1940 HARRISON AVE
Enumeration Date
30 May 2005
Last Update Date
24 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5614041422
Graduation Year
1977 (49 years ago)
PAC ID
8921070558
Group Practice PAC ID
4981927373
Professional Enrollment ID
I20140925000792
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

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Provider Addresses for DR. PAUL KENNETH PHILLIPS (MD)

  • Emerald Coast Behavioral Hospital, 1940, Harrison Avenue, Panama City, Bay County, Florida, 32405, United States

    PANAMA CITY, FL 324054542

    Phone: (850) 763-0017

    Fax: (850) 532-6454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-09-25

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
I20140925000792IPsychiatryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32405)

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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: 4981927373View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. PAUL KENNETH PHILLIPS (MD) using NPI 1427051937?
NPI 1427051937 belongs to DR. PAUL KENNETH PHILLIPS (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. PAUL KENNETH PHILLIPS (MD)?
You should see DR. PAUL KENNETH PHILLIPS (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. PAUL KENNETH PHILLIPS (MD)'s focus?
For DR. PAUL KENNETH PHILLIPS (MD), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. PAUL KENNETH PHILLIPS (MD)?
Travel planning: use Panama City, Florida as the reference point for DR. PAUL KENNETH PHILLIPS (MD), then confirm.
When was this NPI issued?
Enumeration for DR. PAUL KENNETH PHILLIPS (MD) is noted as May 30, 2005 where the registry provides it.

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