Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Dawn Phillips, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1205249869

Kimberly Dawn Phillips, NURSEPRACTITIONER is a Nurse Practitioner in Dothan, Alabama. Qualified in 2013, 13 years ago. Practices with Ch Mssp Services Al LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
13
Licensed in
AL
In the registry since
2014
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Practice location Address checks out

1812 E Main St
Dothan, AL 36301-3000
Phone: (334) 792-5184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1108 Ross Clark Cir, Dothan, AL 36301-3022 — (334) 793-8111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-074781 (AL)

Record details

NPI number1205249869
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 11, 2014
Last updated in NPPESApril 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ch Mssp Services Al Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dothan