Individual provider Active NPI

Stephen J. Phillips, M.D.

  • Ophthalmology Physician
  • Myrtle Beach, SC
National Provider Identifier
1265499693
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26821 Issued in SC
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q00271MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000424 SC Practitioner - Ophthalmology 3870575848 Reassigns benefits to 1 organization

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 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26821SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Neuroscience Institute LLC CurrentSince Feb 1, 2024 Accepting new patients
Charleston Neurosciences Institute Ophthalmology CurrentSince Feb 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.