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

Mariah Shyanne Hall Phillips

Individual provider Physician Assistant · NPI 1134745912

Mariah Shyanne Hall Phillips is a Physician Assistant in Alcoa, Tennessee. Qualified in 2021, 5 years ago. Practices with Blount Memorial Physician Group Inc, a 249-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

266 Joule St
Alcoa, TN 37701-2422
Phone: (865) 984-3864
Fax: (865) 380-4095
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 950 Baker Hwy Unit 4, Huntsville, TN 37756-4169 — (423) 663-4200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0000004657 (TN)

Record details

NPI number1134745912
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Blount Memorial Physician Group Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Alcoa