Active NPI
Phillip Sussman, DO
- Sports Medicine (Orthopaedic Surgery) Physician
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 92685
- Practice address
- 8004 Myrtle Trace Dr
Ste 200
Conway, SC 29526-8945 - Phone
- (843) 347-8041
- Fax
- (843) 347-8042
- NPI assigned
- May 31, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 92685 | SC | Primary |
Addresses
Primary practice location
8004 Myrtle Trace Dr
Ste 200
Conway, SC 29526-8945
Mailing address
300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142
Other practice location 1
1100 62nd Ave N
Myrtle Beach, SC 29572-7202
Phone (843) 347-8041
Other practice location 2
1413 Highway 17 N
Surfside Beach, SC 29575-6012
Phone (843) 347-8041
Other practice location 3
6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-8041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926859 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6010 Hwy 707
Suite 200
Myrtle Beach, SC 29588-7321
Phone (843) 215-0999
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 27 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Appalachian Orthopaedic Associates P C | Orthopaedic Surgery | Current | Accepting new patients |
| Appalachian Orthopaedic Associates P C | Orthopaedic Surgery | Current | Accepting new patients |
| Appalachian Orthopaedic Associates P C | Orthopaedic Surgery | Current | Accepting new patients |
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Appalachian Orthopaedic Associates P C | Orthopaedic Surgery | Current | Accepting new patients |
| Conway Hospital, Inc. | Past | Accepting new patients | |
| Appalachian Orthopaedic Associates P C | Past | Accepting new patients | |
| Conway Hospital, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
8004 Myrtle Trace Dr
Ste 200
Conway, SC 29526
Phone (843) 347-8041
2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050
1100 62nd Ave N
Myrtle Beach, SC 29572
Phone (843) 347-8041
1100 62nd Ave N
Ste C
Myrtle Beach, SC 29572
1413 Highway 17 N
Surfside Beach, SC 29575
Phone (843) 238-5654
260 Midway Medical Park
Ste 100
Bristol, TN 37620
Phone (423) 968-4446
1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161
105 Meadow View Rd
Ste 4
Bristol, TN 37620
Phone (423) 844-6935
3 Professional Park Dr
Ste 10
Johnson City, TN 37604
Phone (423) 926-4331
3 Professional Park Dr
Ste 21
Johnson City, TN 37604
4105 Fort Henry Dr
Ste 300
Kingsport, TN 37663
Phone (423) 239-1550
16000 Johnston Memorial Dr
Ste 100
Abingdon, VA 24211
Phone (276) 258-1760
338 Coeburn Ave SW
Norton, VA 24273
Phone (276) 679-0800
Interoperability endpoints
- phillip.sussman.1@1054.direct.athenahealth.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Orthopaedic Surgery Physician
- Rogersville, TN
- NPI 1063875649
-
- Orthopaedic Surgery Physician
- Norton, VA
- NPI 1831495613
-
- Vascular Surgery Physician
- Conway, SC
- NPI 1134910763
-
- Orthopaedic Surgery Physician
- Bristol, TN
- NPI 1326067315
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1669940078
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1316221500
-
- Internal Medicine Physician
- Little River, SC
- NPI 1558025783
-
- Physical Therapy Clinic/Center
- Johnson City, TN
- NPI 1528128063
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1619325644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"address_2": "ATTN CREDENTIALING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 MYRTLE TRACE DR",
"address_2": "STE 200",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268945",
"telephone_number": "843-347-8041",
"fax_number": "843-347-8042"
}
],
"practiceLocations": [
{
"address_1": "1100 62nd Ave N",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295727202",
"country_code": "US",
"telephone_number": "843-347-8041",
"fax_number": "843-347-8042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1413 Highway 17 N",
"address_purpose": "LOCATION",
"city": "Surfside Beach",
"state": "SC",
"postal_code": "295756012",
"country_code": "US",
"telephone_number": "843-347-8041",
"fax_number": "843-347-8042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6010 Highway 707",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887321",
"country_code": "US",
"telephone_number": "843-347-8041",
"fax_number": "843-347-8042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUSSMAN",
"first_name": "PHILLIP",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-31",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "SC",
"license": "92685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926859",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.