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

Mr. Travis Lane Phillippi, PA-C

Individual provider Physician Assistant · NPI 1831517333

Mr. Travis Lane Phillippi, PA-C is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2013, 13 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana and Tennessee.

Years since qualifying
13
Licensed in
LA, TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7777 Hennessy Blvd Ste 8001
Baton Rouge, LA 70808
Phone: (225) 490-7224
Fax: (225) 490-7223
Show map & directions

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

Additional practice locations (2)

  • 501 Great Circle Rd, Nashville, TN 37228-1317 — (615) 222-5500
  • 501 Great Circle Rd, Nashville, TN 37228-1317 — (615) 222-5500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 320838 (LA)
Physician Assistant Taxonomy 363A00000X · Licence 2505 (TN)

Record details

NPI number1831517333
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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