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

Phillip Matthew Ezell, FNP-BC, AGACNP-BC

Individual provider Adult Medicine Physician · NPI 1689453524

Phillip Matthew Ezell, FNP-BC, AGACNP-BC is a Nurse Practitioner in Petal, Mississippi. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with Medical Systems Management, LLC, a 49-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
MS
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

908 S George Ave
Petal, MS 39465-2077
Phone: (601) 544-7441
Show map & directions

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

Additional practice locations (1)

  • 670 Weathersby Rd Ste 140, Hattiesburg, MS 39402-9586 — (601) 318-0669

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 905839 (MS)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 905839 (MS)

Record details

NPI number1689453524
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC , AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Medical Systems Management, Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount