MEDICARE: MR. LARRY GENE PHIPPS PHYSICIAN ASSISTANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	002969	GA

General Provider Information

NPI Number	:	1225198450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LARRY GENE PHIPPS PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	1701 HARDEE AVE
Second Line	:	GREEN TEAM
City	:	ATLANTA
State	:	GA
Zip	:	30330
Country	:	US
Telephone Number	:	404-464-0237
Fax Number	:	404-464-0249

Provider Business Practice Location Address
First Line	:	1701 HARDEE AVE
Second Line	:	GREEN TEAM
City	:	ATLANTA
State	:	GA
Zip	:	30330
Country	:	US
Telephone Number	:	404-464-0237
Fax Number	:	404-464-0249

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1861482242 — DR. JONATHAN CHARLES FRUENDT M.D
Practice Location Address:

1401 DESHLER ST SW
ATLANTA, GA
30330-1040

Practice Phone: 404-464-8212
Practice Fax: 404-464-8200

1801872874 — DR. JAMES M. WILLIAMS M.D.
Practice Location Address:

1701 HARDEE AVE SW
ATLANTA, GA
30330-1062

Practice Phone: 404-464-0018
Practice Fax: 404-464-0249

1205981974 — LAWRENCE JOEL ARMY HEALTH CLINIC
Practice Location Address:

1701 HARDEE AVE S. W. , FORT MCPHERSON
ATLANTA, GA
30330

Practice Phone: 404-464-0405
Practice Fax: 404-464-0475

1558517540 — DR. RAJAH VIKRAMADITYA KOPPALA MD
Practice Location Address:

EMORY UNIVERSITY HOSPITAL , 1364 CLIFTON ROAD
ATLANTA, GA
30330-0001

Practice Phone: 770-630-5154
Practice Fax:

1346230208 — DR. ROBERT J DANIELL PH.D.
Practice Location Address:

1701 HARDEE AVE SW
FT MCPHERSON, GA
30330-1062

Practice Phone: 404-464-3562
Practice Fax: 404-464-4764

1265516470 — LAWRENCE JOEL ARMY HEALTH CLINIC
Practice Location Address:

1701 HARDEE AVE
FT MCPHERSON, GA
30330

Practice Phone: 404-464-0304
Practice Fax: 404-464-0303

Directions to “ MR. LARRY GENE PHIPPS PHYSICIAN ASSISTANT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.