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
Mailing address1812 E Main St, Dothan, AL 36301-3000

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