MR. TIMOTHY JOHN PHILLIPS (PA-C) – Physician Assistant, NPI 1629182639

MR. TIMOTHY JOHN PHILLIPS (PA-C) is a healthcare provider. based in Indialantic, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 103731 (NC). The NPI Number for MR. TIMOTHY JOHN PHILLIPS (PA-C) is 1629182639

Main info

Male
Name
MR. TIMOTHY JOHN PHILLIPS (PA-C)
NPI
1629182639
Phone
(321) 773-1193
Address
3265 LUSITANIA LN
Enumeration Date
18 August 2006
Last Update Date
16 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. TIMOTHY JOHN PHILLIPS (PA-C)

  • 3265 LUSITANIA LN

    INDIALANTIC, FL 329031826

    Phone: (321) 773-1193

    Type: Mailing

  • 2817 ROCK MERRITT AVE

    WOMACK ARMY MEDICAL CENTER

    FORT BRAGG, NC 283100001

    Phone: (910) 907-6784

    Fax: (910) 907-7907

    Type: Location

  • 1350, Hickory Street, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013278

    Phone: (321) 254-6218

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $614.

Total Amount is formed as General ($614) + Research ($0) + Ownership ($0) = $614.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($526).

Total Amount

$614

General + Research + Ownership

Payments

6

Total payment records

General Amount

$614

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 32903)

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Reviews

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Frequently asked questions

What is MR. TIMOTHY JOHN PHILLIPS (PA-C)'s NPI number?
MR. TIMOTHY JOHN PHILLIPS (PA-C)'s NPI is 1629182639 — the number used across U.S. healthcare to identify this provider.
Would MR. TIMOTHY JOHN PHILLIPS (PA-C) appear as active to a payer?
You can treat MR. TIMOTHY JOHN PHILLIPS (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. TIMOTHY JOHN PHILLIPS (PA-C)?
At a glance, MR. TIMOTHY JOHN PHILLIPS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is MR. TIMOTHY JOHN PHILLIPS (PA-C) registered?
Use Indialantic, Florida as the headline location for MR. TIMOTHY JOHN PHILLIPS (PA-C) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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