Philip A Mahoney Jr., MD
Individual provider Active NPI Family Medicine Physician · Spartanburg, SC
NPI 1194779017 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1194779017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24636 (SC)
- Practice address
- 120 Heywood Ave
Spartanburg, SC 29302-1210 - Phone
- (864) 562-5102
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Ohio, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spartanburg Medical Center
Practice addresses (Care Compare)
120 Heywood Ave
Suite 200
Spartanburg, SC 29302-1210
Phone (864) 573-9595
1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260
2995 Reidville Rd
Suite 100
Spartanburg, SC 29301-5600
Phone (864) 587-3000
Hospital & facility affiliations
- Spartanburg Regional Home Health
- Spartanburg Medical Center
- Union Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040604000162 | SC | Practitioner - Family Practice | 8224010061 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Family Medicine | Current |
Accepting new patients |
| Spartanburg Medical Center | Family Medicine | Current |
Accepting new patients |
| Spartanburg Medical Center | Family Medicine | Current |
Accepting new patients |
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Spartanburg Medical Center | Family Medicine | Current | Accepting new patients |
| Mary Black Health System LLC | Past | Accepting new patients | |
| Spartanburg Medical Center | Past | Accepting new patients |
Locations
724 Hyatt St
Ste 1D
Gaffney, SC 29341
Phone (864) 489-5001
7221 S Pine St
Pacolet, SC 29372
Phone (864) 474-1528
151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
120 Heywood Ave
Ste 200
Spartanburg, SC 29302
Phone (864) 560-3800
2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696
2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260
511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24636 | SC | Yes |
Addresses
Primary practice location
120 Heywood Ave
Spartanburg, SC 29302-1210
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01617594 | Other | SC | RAILROD MEDICARE |
| 246362 | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pmahoney41639@direct-srhs.et0939.epichosted.com | Direct |
Other providers in Spartanburg, SC
- Leeann Elisabeth Magnuson
- Shelley Mahaffey
- Stacy L Mahaffey
- Patricia Eller Mahan
- Nabil Mahmoud
- Tracy Makison
- Jayleen Marie Malave Cartagena
- Malcolm Family Care House LLC
- Harrison Reid Malcolm
- Kyle Maldonado
All providers in Spartanburg, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.