Doctor profile · Federal record
Dr. Kelly Phillips, PA-C
Physician Assistant · Physician Assistant · Physician Assistant · Medical Physician Assistant · Surgical Physician Assistant · Cumming, GA
- NPI 1194915496
- 19 yrs on file
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1505 Northside Forsyth Blvd, Ste 3500
Cumming, GA 30041
(770) 292-6500
fax (770) 292-6535 - Mailing address
-
3400 Old Milton Pkwy # C, Suite 290
Alpharetta, GA 300053707
Credentials & registration
- NPI registered
- August 2007 — 19 yrs on file
- Profile last updated
- June 2, 2020
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (4)
- Georgia #007088 · North Carolina #0010-03244 · Tennessee #1512 · Tennessee #PA0000001512
- Medicaid (3)
- GA #003144287F · GA #003144287H · GA #003144287E
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194915496. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Avanos Medical | 1 | $21.76 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Phillips's medical specialty?
Dr. Kelly Phillips practices Physician Assistant in Cumming, GA.
Where does Dr. Kelly Phillips practice?
Dr. Kelly Phillips practices at 1505 Northside Forsyth Blvd, Cumming, GA 30041. Office phone: 7702926500.
What is Dr. Kelly Phillips's NPI?
Dr. Kelly Phillips's National Provider Identifier (NPI) is 1194915496, issued by NPPES.