Active NPI 1942220637 Individual Practitioner Male Practitioner

Dr. John Hunter Phillips , MD

Dermatology • Navarre, FL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. John Phillips, MD is a registered Dermatology practitioner in Navarre, FL. With approximately 44 years of clinical practice since graduating from Tulane University School Of Medicine in 1982, Dr. Phillips provides healthcare services at the registered practice location at 4053 FOUNTAIN PROFESSIONAL COURT STE B.

Dr. Phillips is affiliated with Southeastern Dermatology Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4053 Fountain Professional Court Ste B

Navarre, FL 325665109

Telephone 8502333376

Fax 8505228354

Associated Practice Facility / Clinic

🏢 Southeastern Dermatology Group Pa Facility NPI 1518972231

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Navarre, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Navarre, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillips (44 Years) 44 Yrs

Navarre Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,015	438	$12.49	$6.55
17000 Destruction of skin growth	863	548	$130.00	$56.20
99213 Established patient office or other outpatient visit, typically 15 minutes	838	579	$177.00	$92.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	340	270	$109.00	$57.72
11102 Tangential biopsy of single skin lesion	323	279	$191.00	$92.70
17110 Destruction of up to 14 skin growths	288	234	$216.00	$113.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	133	$249.00	$131.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	127	25	$24.00	$0.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg	104	15	$20.00	$0.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$218.00	$113.92
11103 Biopsy of related skin growth, each additional growth	77	56	$96.00	$50.90
17004 Destruction of precancer skin growth, 15 or more growths	74	52	$321.00	$169.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	32	$583.00	$297.25
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$140.00	$72.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	18	$27.00	$14.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$328.00	$171.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	22	$539.00	$155.24
69100 Biopsy of ear	21	19	$183.00	$74.60
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$471.00	$160.48
11200 Removal of skin tag, 1-15 skin tags	14	14	$178.00	$63.98
11104 Punch biopsy, first skin growth	12	12	$238.00	$125.57
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$343.00	$167.34
17111 Destruction of skin growth, 15 or more growths	12	11	$254.00	$134.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,780	416	$13.33	$6.43
17000 Destruction of skin growth	830	544	$129.00	$53.28
99213 Established patient office or other outpatient visit, typically 15 minutes	826	559	$175.00	$89.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	329	269	$109.00	$55.70
17110 Destruction of up to 14 skin growths	294	234	$165.83	$109.36
11102 Tangential biopsy of single skin lesion	284	243	$195.00	$92.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	88	$248.00	$125.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	22	$24.00	$1.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$219.00	$112.08
11103 Biopsy of related skin growth, each additional growth	64	49	$97.00	$49.46
17004 Destruction of precancer skin growth, 15 or more growths	58	43	$326.00	$166.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	32	28	$587.00	$272.19
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$140.00	$69.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	12	$27.00	$13.87
11200 Removal of skin tag, 1-15 skin tags	24	22	$177.00	$69.75
11104 Punch biopsy, first skin growth	24	24	$242.00	$123.59
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	21	17	$781.20	$384.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$474.00	$159.37
69100 Biopsy of ear	17	17	$187.00	$75.91
17111 Destruction of skin growth, 15 or more growths	16	13	$255.00	$130.21
96573 Application of light by qualified health care professional to destroy precancer skin growth	15	15	$431.00	$220.64
11900 Injection into skin growth, 1-7 growths	13	11	$110.00	$49.96
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$543.00	$149.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$325.00	$155.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,476	410	$14.00	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	859	557	$182.00	$91.04
17000 Destruction of skin growth	738	501	$135.00	$54.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	275	$256.00	$128.12
11102 Tangential biopsy of single skin lesion	313	263	$204.00	$94.87
G6001 Ultrasonic guidance for placement of radiation therapy fields	302	18	$348.00	$175.08
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	290	17	$522.00	$262.74
77401 Radiation treatment delivery, superficial	280	17	$80.00	$40.09
17110 Destruction of up to 14 skin growths	235	202	$225.00	$111.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	120	29	$12.00	$1.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$227.00	$113.55
11103 Biopsy of related skin growth, each additional growth	82	61	$102.00	$51.15
77427 Radiation treatment management, 5 treatments	64	18	$385.00	$193.64
17004 Destruction of precancer skin growth, 15 or more growths	64	55	$335.00	$166.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg	55	19	$10.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	24	$29.00	$14.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$338.00	$169.60
11200 Removal of skin tag, 1-15 skin tags	38	37	$181.00	$73.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$114.00	$55.64
77336 Continuing radiation therapy consultation per week	30	14	$161.00	$80.93
11104 Punch biopsy, first skin growth	27	24	$253.00	$126.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$490.00	$208.87
77300 Calculation of radiation therapy dose	18	17	$128.00	$64.42
69100 Biopsy of ear	17	17	$194.00	$80.11
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	15	$784.96	$388.75
77334 Design and construction of complex radiation treatment device	15	15	$244.00	$122.47
17111 Destruction of skin growth, 15 or more growths	15	14	$264.00	$132.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$607.00	$304.96
96573 Application of light by qualified health care professional to destroy precancer skin growth	11	11	$456.00	$229.24
77261 Simple radiation therapy planning	11	11	$144.00	$72.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,117	336	$12.00	$6.37
99213 Established patient office or other outpatient visit, typically 15 minutes	679	460	$169.00	$92.13
17000 Destruction of skin growth	627	414	$123.00	$54.21
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	359	20	$516.00	$277.25
77401 Radiation treatment delivery, superficial	348	19	$78.00	$41.91
G6001 Ultrasonic guidance for placement of radiation therapy fields	342	21	$279.00	$150.48
11102 Tangential biopsy of single skin lesion	258	227	$193.00	$97.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	192	$240.00	$130.95
17110 Destruction of up to 14 skin growths	199	172	$210.00	$111.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	119	27	$12.00	$1.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$208.00	$113.89
77427 Radiation treatment management, 5 treatments	88	20	$348.00	$193.77
11103 Biopsy of related skin growth, each additional growth	62	44	$97.00	$52.85
77336 Continuing radiation therapy consultation per week	60	19	$151.00	$79.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	21	$26.00	$14.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg	38	18	$10.00	$0.15
17004 Destruction of precancer skin growth, 15 or more growths	37	32	$303.00	$165.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$313.00	$170.76
11200 Removal of skin tag, 1-15 skin tags	32	27	$167.00	$74.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$105.00	$56.32
11104 Punch biopsy, first skin growth	26	25	$239.00	$129.88
77300 Calculation of radiation therapy dose	22	18	$120.00	$65.77
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$458.00	$190.49
77334 Design and construction of complex radiation treatment device	20	18	$230.00	$124.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$570.00	$294.43
77261 Simple radiation therapy planning	14	13	$129.00	$72.60
69100 Biopsy of ear	14	13	$181.00	$85.46
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$321.00	$141.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,934	317	$12.79	$5.87
99213 Established patient office or other outpatient visit, typically 15 minutes	803	488	$149.00	$75.33
17000 Destruction of skin growth	591	399	$130.00	$54.53
G6001 Ultrasonic guidance for placement of radiation therapy fields	442	25	$228.72	$115.12
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	418	25	$538.99	$271.22
77401 Radiation treatment delivery, superficial	406	25	$47.00	$23.82
11102 Tangential biopsy of single skin lesion	245	201	$198.00	$94.91
17110 Destruction of up to 14 skin growths	163	142	$221.00	$110.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	134	29	$12.00	$1.45
99202 New patient office or other outpatient visit, typically 20 minutes	130	130	$152.00	$76.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	81	$90.00	$45.80
77427 Radiation treatment management, 5 treatments	82	24	$389.00	$197.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg	67	14	$5.00	$0.12
11103 Biopsy of related skin growth, each additional growth	65	52	$106.00	$53.54
77336 Continuing radiation therapy consultation per week	63	24	$156.00	$78.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	22	$28.00	$13.76
17004 Destruction of precancer skin growth, 15 or more growths	46	38	$314.00	$158.78
11104 Punch biopsy, first skin growth	36	33	$249.00	$124.03
11200 Removal of skin tag, 1-15 skin tags	34	31	$177.00	$64.64
77300 Calculation of radiation therapy dose	21	20	$131.00	$66.12
77334 Design and construction of complex radiation treatment device	20	19	$252.00	$126.97
77261 Simple radiation therapy planning	16	15	$146.00	$73.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$602.00	$284.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$494.00	$212.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$217.00	$109.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,110	332	$11.01	$5.69
99213 Established patient office or other outpatient visit, typically 15 minutes	833	486	$146.15	$74.07
17000 Destruction of skin growth	651	412	$134.04	$53.13
11102 Tangential biopsy of single skin lesion	255	212	$198.20	$89.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	227	142	$87.00	$44.81
17110 Destruction of up to 14 skin growths	227	165	$220.25	$108.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	153	32	$12.00	$1.61
99202 New patient office or other outpatient visit, typically 20 minutes	134	134	$150.30	$76.00
11103 Biopsy of related skin growth, each additional growth	53	46	$106.49	$53.13
17004 Destruction of precancer skin growth, 15 or more growths	45	37	$302.00	$152.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	24	$50.00	$16.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg	39	13	$5.00	$0.12
11200 Removal of skin tag, 1-15 skin tags	36	33	$178.00	$70.38
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	28	$574.00	$206.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$215.00	$108.91
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	24	$797.00	$387.05
11104 Punch biopsy, first skin growth	26	26	$248.00	$123.16
69100 Biopsy of ear	18	17	$202.00	$93.13
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	15	$250.00	$246.06
11900 Injection into skin growth, 1-7 growths	17	12	$112.00	$46.65
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$500.00	$206.05
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	12	$639.00	$212.98
10040 Acne surgery	12	12	$207.00	$100.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$861.00	$390.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,493	239	$11.38	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	570	330	$146.34	$71.72
17000 Destruction of skin growth	453	292	$133.80	$51.69
11100 Biopsy of single growth of skin and/or tissue	236	193	$206.62	$96.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	87	$87.02	$43.00
17110 Destruction of up to 14 skin growths	131	106	$219.47	$107.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	125	23	$12.00	$1.79
99202 New patient office or other outpatient visit, typically 20 minutes	107	107	$149.36	$73.98
11101 Biopsy of each additional growth of skin and/or tissue	49	35	$66.76	$32.25
17004 Destruction of precancer skin growth, 15 or more growths	35	31	$301.84	$136.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$215.38	$106.64
11200 Removal of skin tag, 1-15 skin tags	29	26	$177.84	$61.41
11900 Injection into skin growth, 1-7 growths	24	13	$111.98	$50.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	12	$50.22	$20.03
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	13	$574.00	$237.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$500.24	$216.39
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	11	11	$802.73	$384.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$217.88	$107.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,793	277	$11.04	$5.34
99213 Established patient office or other outpatient visit, typically 15 minutes	719	461	$146.00	$69.60
17000 Destruction of skin growth	507	356	$134.06	$51.24
11100 Biopsy of single growth of skin and/or tissue	224	191	$207.00	$90.70
17110 Destruction of up to 14 skin growths	201	157	$220.04	$102.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	99	$87.00	$42.08
99202 New patient office or other outpatient visit, typically 20 minutes	120	120	$150.00	$72.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	23	$12.00	$1.80
11101 Biopsy of each additional growth of skin and/or tissue	66	48	$67.00	$32.36
17004 Destruction of precancer skin growth, 15 or more growths	54	50	$302.22	$142.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$215.00	$101.65
11200 Removal of skin tag, 1-15 skin tags	27	24	$178.00	$63.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	16	$50.00	$24.50
10040 Acne surgery	18	16	$207.00	$82.64
87220 Tissue fungi or parasites	18	16	$25.78	$5.74
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	14	$263.19	$129.24
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$500.00	$202.01
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	15	13	$706.40	$349.77
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$797.00	$392.04

Medical Specialties & State Licenses

CMS Verified: 2026-03-04

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME.61638

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id

640932885 (MS)

Hospital & Practice Group Affiliations

Southeastern Dermatology Group Pa

3089 Gulf Breeze Pkwy, Gulf Breeze, FL 325633216

Phone: 8502333376

Secondary Practice Locations

3089 Gulf Breeze Pkwy

Gulf Breeze, FL 325633216

Phone: 8502333376

5952 Berryhill Rd

Milton, FL 325704009

Phone: 8502333376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Sophia Georges , AGNP-C

Nurse Practitioner

NPI 1003668971

Adult-Gerontology Nurse Practitioner (Certified)

Angela Pearson , NP

Nurse Practitioner

NPI 1013267608

Nurse Practitioner

Dr. Jeffrey Stricker , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1013973692

Doctor of Osteopathic Medicine (D.O.)

Holly Vezertzis , CRNP

Nurse Practitioner - Adult Health

NPI 1033532874

Certified Registered Nurse Practitioner

Tricia Berry , ARNP

Nurse Practitioner

NPI 1043370240

Advanced Registered Nurse Practitioner

Elizabeth Dylewski

Physician Assistant

NPI 1053136945

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location September 01, 2020

Registered at 4053 FOUNTAIN PROFESSIONAL COURT STE B, NAVARRE, FL 325665109 (Tel: 8502333376)

📍

Updated Business Mailing Address September 01, 2020

Registered at 2505 HARRISON AVE, PANAMA CITY, FL 324054464 (Tel: 8502333376)

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 4550 HIGHWAY 20 EAST, UNITS K & L, NICEVILLE, FL 32578 (Tel: 8502333376)

📍

Updated Business Mailing Address November 09, 2017

Registered at 215 HARRISON AVE, PANAMA CITY, FL 324012727 (Tel: 8502333376)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as JOHN PHILLIPS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Dermatology (License #ME.61638 in FL)

✅

NPI Profile Active April 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2008

Registered at 2550 PASS RD, BILOXI, MS 395312112 (Tel: 2285949904)

📍

Updated Business Mailing Address April 14, 2008

Registered at 2550 PASS RD, BILOXI, MS 395312112 (Tel: 2285949904)

👤

Provider Name / Credentials Updated April 14, 2008

Recorded as JOHN PHILLIPS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2008

Dermatology (License #10957 in MS)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942220637

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 19, 2006

Last Update: March 04, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2505 Harrison Ave

Panama City, FL 324054464

Phone: 8502333376

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