Active NPI
Stephen J. Phillips, M.D.
- Ophthalmology Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 26821
- Practice address
- 8609 Montague LN
Myrtle Beach, SC 29588-4504 - Phone
- (843) 215-3363
- Fax
- (843) 215-7201
- NPI assigned
- Apr 28, 2006
- Last updated
- Feb 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 26821 | SC | Primary |
Addresses
Primary practice location
8609 Montague LN
Myrtle Beach, SC 29588-4504
Mailing address
8609 Montague LN
Myrtle Beach, SC 29588-4504
Phone (843) 215-3363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00271 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3531 Mary Ader Ave
Suite D
Charleston, SC 29414-5896
Phone (843) 763-4466
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26821 | SC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Neuroscience Institute LLC | Current | Accepting new patients | |
| Charleston Neurosciences Institute | Ophthalmology | Current | Accepting new patients |
| Coastal Eye Group, P.C. | Ophthalmology | Past | Accepting new patients |
| Coastal Eye Group, P.C. | Ophthalmology | Past | Accepting new patients |
Locations
8 Arley Way
#100
Bluffton, SC 29910
Phone (843) 815-5436
3531 Mary Ader Ave
Ste D
Charleston, SC 29414
8609 Montague Ln
Myrtle Beach, SC 29588
Phone (843) 215-3363
Interoperability endpoints
- stephen.phillips@direct.ecr.nextgenshare.com
Organizations & group practices 5
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.
-
dba Retina Consultants of South Carolina
- Ophthalmology Physician
- Charleston, SC
- NPI 1225094600
-
- Clinic/Center
- Myrtle Beach, SC
- NPI 1730138157
-
dba Charleston Medical Equipment
- Oxygen Equipment & Supplies (DME)
- Mount Pleasant, SC
- NPI 1033359294
-
- Ophthalmology Physician
- Myrtle Beach, SC
- NPI 1477663706
-
- Ophthalmology Physician
- Murrells Inlet, SC
- NPI 1821142266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1265499693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 MONTAGUE LN",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295884504",
"telephone_number": "843-215-3363",
"fax_number": "843-215-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 MONTAGUE LN",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295884504",
"telephone_number": "843-215-3363",
"fax_number": "843-215-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "STEPHEN",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "26821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q00271",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.