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

Colin Phillips

Individual provider Physician Assistant · NPI 1063287159

Colin Phillips is a Physician Assistant in Reston, Virginia. Qualified in 2023, 3 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone: (703) 689-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063287159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 17, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address1850 Town Center Pkwy, Reston, VA 20190-3204

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Reston