MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1568907822

MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) is a healthcare provider. based in Covington, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. RN195731 (GA). The NPI Number for MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) is 1568907822

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC)
NPI
1568907822
Phone
(470) 767-0094
Address
25 HAVENWOOD CT
Enumeration Date
22 December 2016
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709548685
Graduation Year
2022 (4 years ago)
PAC ID
0244624369
Group Practice PAC ID
5092611384
Professional Enrollment ID
I20220304002025
Address ID
GA302816388ST250XXCTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC)

  • 25 HAVENWOOD CT

    COVINGTON, GA 300169069

    Phone: (470) 767-0094

    Type: Mailing

  • Lawrenceville, Gwinnett County, Georgia, United States

    LAWRENCEVILLE, GA 300468444

    Phone: (678) 209-2394

    Type: Location

  • 250 CORPORATE CENTER CT

    STOCKBRIDGE, GA 302816388

    Phone: (770) 954-8685

    Fax: (770) 389-3030

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alkermes, Inc. ($60).

Total Amount

$122

General + Research + Ownership

Payments

5

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-03-04

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
I20220304002025INurse PractitionerGATBD

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 30016)

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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: 5092611384View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerFL
-GA
-GA
Clinical PsychologistGA
Nurse PractitionerGA
Clinical PsychologistGA
Marriage And Family TherapistGA
P S Y C H I A T R YGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

How do payers reference MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC)?
For MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC), use NPI 1568907822 as the unique 10-digit identifier.
Would MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) appear as active to a payer?
You can treat MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC)?
At a glance, MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) located near Covington?
MS. MARCIA ANGELLA PHILLIPS (PMHNP-BC) currently maps to Covington, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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