Phillip Shelby Tully III, DMD
NPI 1578643920ActiveIndividual· Dentist, General Practice· Columbus, GA
Opted out of Medicare from October 2013 to October 2027. Dentist, General Practice (DMD) in Columbus, Georgia, licensed in GA, with an NPI issued in October 2006. Part D covered 133 prescriptions written in 2024, 99% of them generic. Zimvie Inc. reported $31.71 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1578643920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | May 20, 2024 |
| Certified by provider | May 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN012911 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 1, 2013 – Oct 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 133 · 137 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $678.47 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2025$31.71 · 1 payment from 1 company
- 2024$21.40 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $31.71 | 1 |
What the 2025 payments were for
- Food and Beverage$31.71 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 81 general dentists in Columbus · All general dentists in Georgia