Phillip Blevins, MD
Individual provider Active NPI Emergency Medicine Physician · Spring City, TN
NPI 1457371015 · NPPES record last updated May 13, 2015
Key facts
- NPI
- 1457371015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35555 (TN)
- Practice address
- 252 Sunset Hills LN
Spring City, TN 37381-6129 - Phone
- (423) 785-7572
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
Practice addresses (Care Compare)
800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330
Hospital & facility affiliations
- Musc Health Lancaster Medical Center
- Musc Health Chester Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623001396 | TN | Practitioner - Emergency Medicine | 4183524069 | Reassigns benefits to 1 organization |
| I20200402000998 | SC | Practitioner - Family Practice |
4183524069 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Current |
Accepting new patients | |
| Musc Community Physicians | Emergency Medicine | Current |
Accepting new patients |
| Carolina Family Care, Inc | Current |
Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients | |
| Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast, Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Solutions of South Florida, LLC | Emergency Medicine | Past |
Accepting new patients |
| Emergency Medicine Physicians of Iredell County, PLLC | Emergency Medicine | Past | Accepting new patients |
| North Carolina Em I Medical Services P C | Past | Accepting new patients | |
| Piedmont Emergency Medical Associates, PA | Emergency Medicine | Past | Accepting new patients |
| Cane Ridge Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35555 | TN | Yes |
Addresses
Primary practice location
252 Sunset Hills LN
Spring City, TN 37381-6129
Mailing address
252 Sunset Hills LN
Spring City, TN 37381-6129
Phone (423) 785-7572
Other providers in Spring City, TN
- Agilitas USA, Inc
- Mindy Ainley
- Apex ABA LLC
- Benchmark Healthcare Services LLC
- Howard Robert Brock
- Beth Ann Casady
- Elizabeth Ann Deleonardis
- James Alan Downs Sr.
- Christopher Derik Elmore
All providers in Spring City, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.