NPIMap

Individual provider Active NPI

Phillip W Saccogna, MD

  • Specialist
  • Easley, SC
National Provider Identifier
1154304632
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17947 Issued in SC
Practice address
115 Whitmire Rd
Easley, SC 29640-1426
Phone
(864) 855-2411
Fax
(864) 855-2413
NPI assigned
Nov 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17947 SC Primary

Addresses

Primary practice location

115 Whitmire Rd
Easley, SC 29640-1426

Mailing address

115 Whitmire Rd
Easley, SC 29640-1426
Phone (864) 855-2411

Other identifiers 1

IdentifierTypeStateIssuer
PA7876MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000782 SC Practitioner - Otolaryngology 8527121391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easley Head and Neck Surgery PAGroup PAC ID 4981767753, 3 clinicians

Practice addresses (Care Compare)

115 Whitmire Rd
Easley, SC 29640-1426
Phone (864) 855-2411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Easley Head & Neck Surgery, PA Specialist CurrentSince Jul 10, 1995 Accepting new patients

Locations

115 Whitmire Rd
Easley, SC 29640
Phone (864) 855-2411

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.125004
  • Direct secure messaging: psaccogna@ehns.gwaydirect.com

Organizations & group practices 1

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

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154304632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WHITMIRE RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401426",
            "telephone_number": "864-855-2411",
            "fax_number": "864-855-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WHITMIRE RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401426",
            "telephone_number": "864-855-2411",
            "fax_number": "864-855-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOGNA",
        "first_name": "PHILLIP",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "17947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA7876",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.