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

Dr. Carroll Niles Phillips II, DO

Individual provider Surgery Physician · NPI 1427687102

Dr. Carroll Niles Phillips II, DO is a General Surgery in Palatka, Florida. Qualified in 2020, 6 years ago. Practices with Putnam Surgical Group LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

414 Zeagler Dr
Palatka, FL 32177-3815
Phone: (386) 328-4123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS22841 (FL)

Record details

NPI number1427687102
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2020
Last updated in NPPESOctober 18, 2025
Certification dateOctober 18, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Putnam Surgical Group Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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