Evan Phillips, PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

1O Issued in LA

Practice address

1103 Kaliste Saloom Rd Ste 100&102
Lafayette, LA 70508-5783

Phone

(225) 274-5148

NPI assigned

Dec 19, 2018

Last updated

Dec 19, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abbeville General HospitalGroup PAC ID 8325933872, 29 clinicians

Lourdes After Hours LLCGroup PAC ID 5496704553, 29 clinicians

Myers Dermatology LLCGroup PAC ID 3971645367, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.57 of 100Reported as group

Quality

75.42

Promoting interoperability

100

Improvement activities

40

Cost

76.1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ephillips5013613@direct.casso.us.com

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.

• Myers Dermatology LLC

  • Dermatology Physician
  • Youngsville, LA
  • NPI 1114255965
  Medicare reassignment Care Compare group NPD
• Abbeville General Hospital

  dba Abbeville Urgent Care

  • Urgent Care Clinic/Center
  • Abbeville, LA
  • NPI 1619458247
  Medicare reassignment Care Compare group
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment Care Compare group
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Carencro, LA
  • NPI 1669774923
  NPD
• Myers Dermatology LLC

  • Community/Retail Pharmacy
  • Youngsville, LA
  • NPI 1467310755
  NPD (past)

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1184196784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINDCHASE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086546",
            "telephone_number": "225-274-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD STE 100&102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "225-274-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EVAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "1O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell T. Phelps, DO
• Philip Gachassin MD Apmc
• Philip S. Perret, M.D., Apmc
• Cordel Phillip
• Amanda Ruth Phillips, MD
• Meggan Phillips, LPC
• Rusty Lane Phillips, LCSW
• Phoebe N Glorias Counseling LLC
• Phoenix Provider Services LLC
• Physical Medicine Center

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.