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

Mr. Derald Phillips Jr., PA

Individual provider Medical Physician Assistant · NPI 1972083137

Mr. Derald Phillips Jr., PA is a Physician Assistant in Amarillo, Texas. Graduated from Southern Illinois University School of Medicine in 2018, 8 years ago. Practices with High Plains Radiological Association LLP, a 36-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Trained at
Southern Illinois University School of Medicine
Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109
Phone: (806) 355-3352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12454 (TX)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1972083137
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 17, 2018
Last updated in NPPESMay 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice High Plains Radiological Association Llp — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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