Dr. Alice Jyothi Philip, M.D.

Family Medicine in Canton, GA. Individual provider (NPI-1).

NPI number1497932040

StatusActive

Last updated in NPPESFeb 17, 2016

Details

NPI: 1497932040
Entity type: Individual (NPI-1)
Name: Dr. Alice Jyothi Philip
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Jan 25, 2008
Last updated: Feb 17, 2016

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
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
207Q00000X	Family Medicine	061320	GA	Yes

Practice location

220 Oakside Ln
Canton, GA 30114-6413

Phone 678-807-1050 · Fax 770-720-7384

Mailing address

260 Elm St
Cumming, GA 30040-2467

Phone 678-807-1050 · Fax 770-720-7384

Is something wrong?

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Other Family Medicine Physician providers in Canton, GA

All 43 Family Medicine Physician providers in Canton · All 1,795 providers in Canton

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