Mark Lucas Phillips, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25639 Issued in NC

Practice address

522 N Elam Ave
Ste 203
Greensboro, NC 27403-1151

Phone

(336) 852-8444

Fax

(336) 852-8401

NPI assigned

Jan 4, 2006

Last updated

Mar 30, 2009By the provider in NPPES

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 8

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Interventional Pain Management

Education

Wake Forest University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guilford Pain Management PAGroup PAC ID 1153488812, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.phillips@1074.chartlogic.direct-ci.com

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.

• Guilford Pain Management,PA

  • Pain Clinic/Center
  • Greensboro, NC
  • NPI 1841435542
  Medicare reassignment Care Compare group NPD Authorized official
• Greensboro Anesthesia Physicians,PC

  • Anesthesiology Physician
  • Greensboro, NC
  • NPI 1427008440
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1275511966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N ELAM AVE",
            "address_2": "STE 203",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031151",
            "telephone_number": "336-852-8444",
            "fax_number": "336-852-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N ELAM AVE",
            "address_2": "STE 203",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031151",
            "telephone_number": "336-852-8444",
            "fax_number": "336-852-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARK",
        "middle_name": "LUCAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "25639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "17619",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967625",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2007829",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "371987800",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "67625",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MCD",
            "identifier": "5703760",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "99475",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "720000034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Clifford Phillips, D.C.
• Johnna Enloe Phillips, PHARMD
• Kaelyn Nicole Phillips
• Kelly Robinson Phillips, MPAS, PA-C
• Marie Louise Phillips
• Megan Dillard Phillips, RN
• Michelle Caffee Phillips, LCSW
• Minta Elizabeth Phillips, MD
• Sandra Phillips
• Susan L Phillips, PHD CCCA

• Pain Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.