Individual provider Active NPI

Terence O Lillis, MD

  • Family Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1649222142
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87011 Issued in SC
Practice address
1338 Highway 14
Simpsonville, SC 29681-5637
Phone
(864) 297-7091
NPI assigned
May 16, 2006
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD430044 PA
Family Medicine Physician 207Q00000X 87011 SC Primary

Addresses

Primary practice location

1338 Highway 14
Simpsonville, SC 29681-5637

Mailing address

124 Verdae Blvd Ste 204
Greenville, SC 29607-3844
Phone (864) 315-1300

Other practice location 1

124 Verdae Blvd Ste 204
Greenville, SC 29607-3844
Phone (864) 315-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120207000487 PA Practitioner - Family Practice 5597922328 Reassigns benefits to 1 organization
I20220401002167 SC Practitioner - Family Practice 5597922328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

1338 Hwy 14
Simpsonville, SC 29681-5637
Phone (864) 297-7091

1340 Hwy 14
Simpsonville, SC 29681-5637
Phone (864) 295-2131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jan 25, 2017 Accepting new patients
St Francis Physician Services Inc Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

124 Verdae Blvd
Ste 204
Greenville, SC 29607
Phone (864) 271-9780

1338 Highway 14
Simpsonville, SC 29681
Phone (864) 297-7091

Interoperability endpoints

  • Direct secure messaging: tlillis2739324@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1649222142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 VERDAE BLVD STE 204",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073844",
            "telephone_number": "864-315-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 HIGHWAY 14",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815637",
            "telephone_number": "864-297-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Verdae Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073844",
            "country_code": "US",
            "telephone_number": "864-315-1300",
            "fax_number": "864-315-1301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLIS",
        "first_name": "TERENCE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD430044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "87011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.