Philip Blanchard Paine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 116677 Issued in FL

Practice address

3390 Tamiami TRL
Suite 204
Port Charlotte, FL 33952-8157

Phone

(941) 391-5496

NPI assigned

Jun 29, 2010

Last updated

Oct 10, 2017By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, MS, GA3 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 3

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Hospitalists of Ms, LLCGroup PAC ID 6709101322, 37 clinicians

Southland Hospitalist Group, LLCGroup PAC ID 8022272913, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
• University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
• BMH-Calhoun Hospital, Calhoun City, MS, CCN 251331
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
• Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038

Merit-based Incentive Payment System (MIPS)

Final score

82.53 of 100Reported as group

Quality

69.43

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Amory, MS
  • NPI 1467856385
  Medicare reassignment Care Compare group NPD
• Southland Hospitalist Group, LLC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386910586
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164

  Internal Medicine

  NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Oxford, MS
  • NPI 1659779767

  Internal Medicine

  NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Clarksdale, MS
  • NPI 1710371679
  NPD

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

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• Baptist Memorial Hospital-Calhoun Inc

  • Critical Access Hospital
  • Calhoun City, MS
  • NPI 1881142461
  Care Compare affiliation
• John D Archbold Memorial Hospital Inc

  dba Archbold Memorial

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702
  Care Compare affiliation
• John D. Archbold Memorial Hospital, Inc.

  dba John D. Archbold Memorial Hospital - Rehab

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  dba University of Mississippi Center - Grenada Psych

  • Psychiatric Hospital
  • Grenada, MS
  • NPI 1083041917
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  dba University of Mississippi Center-Grenada

  • General Acute Care Hospital
  • Grenada, MS
  • NPI 1558798603
  Care Compare affiliation

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1255642815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157",
            "telephone_number": "941-391-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "PHILIP",
        "middle_name": "BLANCHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "24661",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 116677",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD .206193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111345",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Padilla Garcia, APRN
• Yuleinee Padron, APRN
• Gretchen Sue Pai, M.D.
• Paige Kreegel MD PA
• Pain Management Associates of SWF (Advanced Pain Management of Southwest Florida)
• Timothy Palmer, DDS
• Yarima Regla Palmero Castellanos, PMHNP-BC
• Barbara Palomino de Velasco, PHD
• Pamela Papola MD PA
• Rohit Pankhaniya, MD

• Internal Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.