Carla Phillips-Coakley, NP-C
Nurse Practitioner in Ridgeland, MS. Individual provider (NPI-1).
NPI number1295192151
StatusActive
Last updated in NPPESMar 15, 2016
Details
- NPI
- 1295192151
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carla Phillips-Coakley
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2016
- Last updated
- Mar 15, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 901437 | MS | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 901437 | MS |
Practice location
297 Highway 51 Ste BRidgeland, MS 39157-3423
Phone 601-707-5381 · Fax 601-707-5382
Mailing address
297 Highway 51 Ste BRidgeland, MS 39157-3423
Phone 601-707-5381 · Fax 601-707-5382
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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