Thirston S Phillips Jr., DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

200400575 Issued in NC

Practice address

100 Water Grande Blvd
Little River, SC 29566-8162

Phone

(843) 366-4000

Fax

(910) 222-3063

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

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 2

Specialty

Physical Medicine and Rehabilitation

Education

West Virginia School of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
• Encompass Health Rehabilitation Hospital Greenvill Inpatient rehabilitation facility, Greenville, SC, CCN 423035

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECACDA
• Direct secure messaging: thirston.phillips@gmrh-sc.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Greenwood Medical Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Little River, SC
  • NPI 1215388327
  Medicare reassignment Authorized official
• South Georgia Spine and Joint Center, LLC

  • Family Medicine Physician
  • Thomasville, GA
  • NPI 1770815250
  Medicare reassignment NPD
• Wellstar MCG Health Warm Springs, Inc.

  • Rehabilitation Hospital
  • Warm Springs, GA
  • NPI 1760892657
  Medicare reassignment NPD
• South Georgia Spine and Joint Center, LLC

  • Pain Medicine Physician
  • Bainbridge, GA
  • NPI 1114301611
  NPD
• Wellstar MCG Health Warm Springs, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Warm Springs, GA
  • NPI 1952781759
  NPD
• Cape Fear Physical Medicine and

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, NC
  • NPI 1134226301
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

• Encompass Health Rehabilitation Hospital of Greenville, LLC

  • Rehabilitation Hospital
  • Greenville, SC
  • NPI 1497333017

  Inpatient rehabilitation facility

  Care Compare affiliation
• Inspirium Ihc Upstate, LLC

  • Home Health Agency
  • Greenville, SC
  • NPI 1750897609
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1255366175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31166",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295880020",
            "telephone_number": "910-495-6287",
            "fax_number": "910-222-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WATER GRANDE BLVD",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668162",
            "telephone_number": "843-366-4000",
            "fax_number": "910-222-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "THIRSTON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200400575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "136YW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER ID",
            "identifier": "195400",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0057F",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136YW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP PROVIDER ID",
            "identifier": "612107500",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuela Pavliqoti, MD
• Jodi S Peavy, LISW-CP
• Paul Percelay, MD
• Kristen M Perez, COTA/L
• Michael D Peters, M.D.
• Heather Pitt
• Georgia Lynn Plum, APRN
• Robert Allan Prinzi, MD
• PRS 6, LLC
• Vickie Eldridge Purdy, LPC

• Physical Medicine & Rehabilitation Physician in Little River, SC
• Providers in Little River, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.