Doctor profile · Federal record
Dr. Lynette Wilson-Phillips, M.D.
Pediatrics Physician · Clarkston, GA
- NPI 1992769269
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4112 E Ponce de Leon Ave
Clarkston, GA 300211817
(404) 296-7133
fax (404) 501-9744 - Mailing address
-
5268 Sandy Shores CT
Lithonia, GA 300383957
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- September 19, 2011
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Georgia #038132
- Medicaid (2)
- GA #000681106C · GA #000681106B
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992769269. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sanofi-Aventis U.S. LLC | 1 | $20.35 |
By nature of payment
Frequently asked questions
What is Dr. Lynette Wilson-Phillips's medical specialty?
Dr. Lynette Wilson-Phillips practices Pediatrics Physician in Clarkston, GA.
Where does Dr. Lynette Wilson-Phillips practice?
Dr. Lynette Wilson-Phillips practices at 4112 E Ponce de Leon Ave, Clarkston, GA 300211817. Office phone: 4042967133.
What is Dr. Lynette Wilson-Phillips's NPI?
Dr. Lynette Wilson-Phillips's National Provider Identifier (NPI) is 1992769269, issued by NPPES.