Michael S Phillips, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12544 Issued in SC

Practice address

10 Enterprise Blvd
Suite 208
Greenville, SC 29615-6301

Phone

(864) 254-6070

Fax

(864) 254-6182

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pisgah Eye Surgeons LLCGroup PAC ID 8729501663, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msp@advancedeyeupstate.ecldirect.net
• Direct secure messaging: mp@advancedeyecare.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Eye Care of the Upstate, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1669663233
  Medicare reassignment NPD Authorized official
• Pisgah Eye Surgeons LLC

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1285449496
  Medicare reassignment Care Compare group NPD
• Greenville Health System

  • General Acute Care Hospital
  • Simpsonville, SC
  • NPI 1679992838
  NPD (past)
• Southern Eye Associates of SC, PA

  • Eyewear Supplier
  • Clemson, SC
  • NPI 1467228080

  Ophthalmology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1124077490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD",
            "address_2": "SUITE 208",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-254-6070",
            "fax_number": "864-254-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD",
            "address_2": "SUITE 208",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156301",
            "telephone_number": "864-254-6070",
            "fax_number": "864-254-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "12544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125448",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MSP@advancedeyeupstate.ecldirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10 Enterprise Blvd",
            "address_2": "Suite 208",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296156301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Phillips, P.T.
• Laura Ragan Phillips, PA-C
• Melissa Allison Phillips, FNP
• Micah S Phillips, CRNA
• Michael Gaines Phillips, MSN, ACNP
• Nataska Renee Phillips
• Richard A Phillips, PHARMACIST
• Ronald S Phillips, DO
• Ryan Patrick Phillips, MA, LPC
• Kimberly R Phipps, MD

• Ophthalmology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.