DR. OWEN P. PHILLIPS (MD) – Clinical Genetics (M.D.) Physician, NPI 1023075611

DR. OWEN P. PHILLIPS (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in OBSTETRICS/GYNECOLOGY, MEDICAL GENETICS AND GENOMICS. They hold the professional credentials MD. They hold a License No. 20192 (TN). The NPI Number for DR. OWEN P. PHILLIPS (MD) is 1023075611

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. OWEN P. PHILLIPS (MD)
NPI
1023075611
Phone
Not provided
Address
877 JEFFERSON AVE
Enumeration Date
27 April 2006
Last Update Date
28 July 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
9015456969
Graduation Year
1980 (46 years ago)
PAC ID
9436321965
Group Practice PAC ID
5698993418
Professional Enrollment ID
I20111005000804
Address ID
TN381033409ME880XXAVEX300
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

898 OBSTETRICS/GYNECOLOGY in TN

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Provider Addresses for DR. OWEN P. PHILLIPS (MD)

  • Regional Medical Center, 877, Jefferson Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38103, United States

    ATTN: PROVIDER ENROLLMENT

    MEMPHIS, TN 381032807

    Phone:

    Type: Mailing

  • Humphreys Boulevard, Memphis, Shelby County, Tennessee, 38120, United States

    MEMPHIS, TN 381202382

    Phone: (901) 866-8085

    Fax: (901) 515-3429

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $281.

Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Astellas Pharma US Inc ($266).

Total Amount

$281

General + Research + Ownership

Payments

4

Total payment records

General Amount

$281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

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: 2011-10-05

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
I20111005000804IObstetrics/GynecologyTNTBD

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 38103)

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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: 5698993418View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Vascular SurgeryVA
Certified Registered Nurse Anesthetist (Crna)MS
Nurse PractitionerTN
General SurgeryFL
Certified Nurse Midwife (Cnm)TN
H E M A T O L O G Y/ O N C O L O G YTN
-TN
R H E U M A T O L O G YTN
-KS

Reviews

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Frequently asked questions

What federal number belongs to DR. OWEN P. PHILLIPS (MD)?
The federal identifier for DR. OWEN P. PHILLIPS (MD) is NPI 1023075611.
Is DR. OWEN P. PHILLIPS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. OWEN P. PHILLIPS (MD) work in?
You can think of DR. OWEN P. PHILLIPS (MD) as practicing within Clinical Genetics (M.D.) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. OWEN P. PHILLIPS (MD)?
The page summarizes Memphis, Tennessee for DR. OWEN P. PHILLIPS (MD); expand the address list for detail.
What if Memphis, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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