WILLIAM PHILLIPS (PA) – Physician Assistant, NPI 1679563613

WILLIAM PHILLIPS (PA) is a healthcare provider. based in Savannah, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 003929 (GA). The NPI Number for WILLIAM PHILLIPS (PA) is 1679563613

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM PHILLIPS (PA)
NPI
1679563613
Phone
(912) 644-5372
Address
210 E DE RENNE AVE
Enumeration Date
21 October 2005
Last Update Date
15 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9126445300
Graduation Year
2011 (15 years ago)
PAC ID
0941300164
Group Practice PAC ID
9931427002
Professional Enrollment ID
I20250326002609
Address ID
GA314056736SA210XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for WILLIAM PHILLIPS (PA)

  • 210, East de Renne Avenue, Groveland, Kensington Park, Savannah, Chatham County, Georgia, 31405, United States

    SAVANNAH, GA 314056736

    Phone: (912) 644-5372

    Fax: (912) 644-5260

    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: 2025-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070717000226IPhysician AssistantGATBD
I20250326002609IPhysician AssistantSCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes361288$0
73630X-ray of foot, minimum of 3 views296161$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15943$0
99214Established patient office or other outpatient visit, 30-39 minutes130107$0
73610X-ray of ankle, minimum of 3 views11077$0
View full utilization report →

Insurance plans in this area (ZIP 31405)

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Provider's Procedures

WILLIAM PHILLIPS (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA73630X-ray of foot, minimum of 3 views11564

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: 9931427002View full group profile
NameSpecialtyState
-GA
Orthopedic SurgeryGA
Physician AssistantSC
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeTX
Physician AssistantMO
Physical Therapist In Private PracticeGA
Family PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What is the standard ID for WILLIAM PHILLIPS (PA) in the U.S.?
In the U.S., WILLIAM PHILLIPS (PA) is identified by NPI 1679563613.
Does the public listing show WILLIAM PHILLIPS (PA) as active?
WILLIAM PHILLIPS (PA)'s NPI record reflects an active status in NPPES.
What type of care does WILLIAM PHILLIPS (PA) provide?
WILLIAM PHILLIPS (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is WILLIAM PHILLIPS (PA) tied to Savannah, Georgia?
If you are local to Savannah, Georgia, WILLIAM PHILLIPS (PA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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