SearchGeorgia363A00000X

Kelly Phillips, PA-C

NPI 1194915496 · on the registry since 2007

Practice

Address
1505 Northside Forsyth Blvd
Ste 3500
Cumming, GA 30041
Phone
(770) 292-6500
Fax
(770) 292-6535
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
363A00000X
363AM0700X
363A00000X
363A00000X
Licence states on file
TN, NC, GA, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia