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

Mr. Lilliot Phillips, AG-ACNP

Individual provider Nurse Practitioner · NPI 1669951455

Mr. Lilliot Phillips, AG-ACNP is a Nurse Practitioner in Callahan, Florida. Qualified in 2018, 8 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018

Practice location Address checks out

54123 Lisa Dr
Callahan, FL 32011-5989
Phone: (904) 955-3062
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN1617712 (FL)

Record details

NPI number1669951455
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Callahan