Michael Gaines Phillips, MSN, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

730 Issued in SC

Practice address

27 Creekview CT
Same
Greenville, SC 29615-4800

Phone

(864) 627-4032

Fax

(864) 627-4035

NPI assigned

May 11, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Carolina Medical Rehab

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
  • NPI 1497705982
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1245280056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CREEKVIEW COURT",
            "address_2": "SAME",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-627-4032",
            "fax_number": "864-627-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CREEKVIEW CT",
            "address_2": "SAME",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-627-4032",
            "fax_number": "864-627-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "GAINES",
        "credential": "MSN, ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH UNIVERSAL PROVIDER ID",
            "identifier": "11854536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Clark Phillips, MD
• Kevin Phillips, P.T.
• Laura Ragan Phillips, PA-C
• Melissa Allison Phillips, FNP
• Micah S Phillips, CRNA
• Michael S Phillips, MD
• Nataska Renee Phillips
• Richard A Phillips, PHARMACIST
• Ronald S Phillips, DO
• Ryan Patrick Phillips, MA, LPC

• Acute Care Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.