Courtney Wingo Phillips, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1480 Issued in SC

Practice address

764 Saco Lowell Rd
Easley, SC 29640-3880

Phone

(864) 855-5525

Fax

(864) 855-5440

NPI assigned

Oct 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Carolina Center for Postural Orthostatic Tachycardia Syndrome and Other Dysautonomias

  • Primary Care Clinic/Center
  • Easley, SC
  • NPI 1285509463
  NPD (past)
• Greenville Health System

  • General Acute Care Hospital
  • Simpsonville, SC
  • NPI 1679992838
  NPD (past)
• Greenville Proaxis Therapy, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  NPD (past)

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1316273626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 SACO LOWELL RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403880",
            "telephone_number": "864-855-5525",
            "fax_number": "864-855-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 SACO LOWELL RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403880",
            "telephone_number": "864-855-5525",
            "fax_number": "864-855-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "COURTNEY",
        "middle_name": "WINGO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PH Health Care Services Inc
• PH Healthcare Services, Inc.
• Phong Thanh Phan, M.D.
• Phases Counseling Collective LLC
• David Phelps, DDS
• Myra Aurelia Phipps, M.D.
• Physical Therapy Consultants
• Pickens County Board of Disabilities and Special Needs
• Pickens County Commission on Alcohol & Drug Abuse
• Pickens County Commission on Alcohol & Drug Abuse

• Medical Physician Assistant in Easley, SC
• Providers in Easley, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.