PHILLIP W NOWLIN MD NPI 1922006360

NPI Information

NPI: 1922006360
Provider Name: PHILLIP W NOWLIN, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
115 AMBULANCE DR
CARROLLTON, GA
ZIP 30117
Phone: (404) 759-7535
Get Directions

Phillip W Nowlin, MD is an adult medicine family medicine in Carrollton, GA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Phillip W Nowlin, MD NPI is 1922006360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

115 AMBULANCE DR
CARROLLTON, GA
ZIP 30117
Phone: (404) 759-7535
Fax: (770) 834-7100

The NPI 1922006360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 3/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	036588	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	511I080164	MEDICARE UPIN	GEORGIA
2	08BBQNG	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	PROVIDER ID
3	000545003F	MEDICAID	GEORGIA
4	GRP6170	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GROUP ID #
5	511G700201	MEDICARE PIN	GEORGIA
6	F61269	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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