RUTHANN PHILLIPS (PA-C) – Physician Assistant, NPI 1649277591

RUTHANN PHILLIPS (PA-C) is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001106 (GA). The NPI Number for RUTHANN PHILLIPS (PA-C) is 1649277591

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
RUTHANN PHILLIPS (PA-C)
NPI
1649277591
Phone
(770) 962-4300
Address
758 OLD NORCROSS RD
Enumeration Date
7 July 2005
Last Update Date
11 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4707623641
Graduation Year
1982 (44 years ago)
PAC ID
3870677396
Group Practice PAC ID
1153224142
Professional Enrollment ID
I20080222000193
Address ID
GA305175608BR1223XRDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for RUTHANN PHILLIPS (PA-C)

  • 758, Old Norcross Road, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 100

    LAWRENCEVILLE, GA 300463385

    Phone: (770) 962-4300

    Fax: (770) 339-7544

    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: 2008-02-22

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
I20080222000193IPhysician AssistantGATBD

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 minutes484262$0
J1030Injection, methylprednisolone acetate, 40 mg130108$0
72114X-ray lower and sacral spine, minimum of 6 views129127$0
99213Established patient office or other outpatient visit, 20-29 minutes119103$0
20552Injection of trigger points, 1-2 muscles10690$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 1153224142View full group profile
NameSpecialtyState
-GA
Physical Therapist In Private PracticeGA
Physician AssistantGA
-GA
Diagnostic RadiologyGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeNJ
Nurse PractitionerGA
-GA
-GA

Reviews

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Frequently asked questions

How is RUTHANN PHILLIPS (PA-C) identified in CMS data?
CMS-hosted NPPES data lists RUTHANN PHILLIPS (PA-C) with NPI 1649277591.
Is RUTHANN PHILLIPS (PA-C) listed as active for patients and plans?
The listing shows RUTHANN PHILLIPS (PA-C) as active in the NPI system.
What taxonomy line describes RUTHANN PHILLIPS (PA-C)?
For research purposes, treat RUTHANN PHILLIPS (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does RUTHANN PHILLIPS (PA-C) list a practice location?
Patients near Lawrenceville, Georgia may find RUTHANN PHILLIPS (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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