DR. PHILIP JAMES JR. DUBOSE (PSY.D.) – Psychologist, NPI 1730112723

DR. PHILIP JAMES JR. DUBOSE (PSY.D.) is a healthcare provider. based in Thomasville, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PSY002549 (GA). The NPI Number for DR. PHILIP JAMES JR. DUBOSE (PSY.D.) is 1730112723

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP JAMES JR. DUBOSE (PSY.D.)
NPI
1730112723
Phone
Not provided
Address
920 US HIGHWAY 84 W
Enumeration Date
10 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
2365487741
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20050627000271
Address ID
GA302141578FA101XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

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Provider Addresses for DR. PHILIP JAMES JR. DUBOSE (PSY.D.)

  • National Highway, Erwin Heights, Thomasville, Davidson County, North Carolina, 27360, United States

    THOMASVILLE, GA 317920510

    Phone:

    Type: Mailing

  • 401, Old Albany Road, Booker Heights, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317924014

    Phone: (229) 228-8100

    Fax: (229) 228-8154

    Type: Location

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: 2005-06-27

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
I20050627000271IClinical PsychologistGATBD

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
90834Psychotherapy, 45 minutes8016$0
View full utilization report →

Insurance plans in this area (ZIP 31792)

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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: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA

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Frequently asked questions

What NPI should I save for DR. PHILIP JAMES JR. DUBOSE (PSY.D.)?
Save NPI 1730112723 if you need a stable reference for DR. PHILIP JAMES JR. DUBOSE (PSY.D.).
Is DR. PHILIP JAMES JR. DUBOSE (PSY.D.) currently active in the NPI registry?
CMS-published data lists DR. PHILIP JAMES JR. DUBOSE (PSY.D.) as an active registrant.
Does DR. PHILIP JAMES JR. DUBOSE (PSY.D.) list a primary specialty?
If you are matching referrals, note Psychologist for DR. PHILIP JAMES JR. DUBOSE (PSY.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. PHILIP JAMES JR. DUBOSE (PSY.D.)?
The snapshot lists Thomasville, Georgia for DR. PHILIP JAMES JR. DUBOSE (PSY.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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