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

Mrs. Phyllis Pelfrey Costello, MSN

Individual provider Family Nurse Practitioner · NPI 1487081261

Mrs. Phyllis Pelfrey Costello, MSN is a Nurse Practitioner in Augusta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2013, 13 years ago. Practices with Augusta Primary Care Services LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

See every abbreviation used in this directory →

Practice location Address checks out

3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
Phone: (706) 504-9712
Fax: (706) 504-9703
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN158279 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN158279 (GA)

Record details

NPI number1487081261
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN
Sole proprietorNo
NPI enumeratedOctober 11, 2013
Last updated in NPPESFebruary 9, 2022
Certification dateSeptember 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Augusta Primary Care Services Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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