Lane R Phillips, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S7692 Issued in FL

Practice address

1125 Townpark Ave Ste 1011
Lake Mary, FL 32746-7605

Phone

(407) 804-9494

Fax

(407) 804-9443

NPI assigned

May 27, 2005

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Lane Phillips Other name

Medicare fee-for-service enrollment

Enrolled in SC

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

Family Practice

Education

Nova Southeastern College of Osteo Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cherokee Medical Center

  dba CMC-Immediate Care Center-Gaffney

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1285275305
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove

  • Neuromusculoskeletal Medicine & OMM Physician
  • Spartanburg, SC
  • NPI 1043309917
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Family Medicine - Boiling Springs

  • Family Medicine Physician
  • Boiling Springs, SC
  • NPI 1235170077
  Medicare reassignment NPD
• Central Parc Wellness

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1245616192
  Authorized official Same address or phone
• Heathrow Urgent Care Inc

  • Urgent Care Clinic/Center
  • Lake Mary, FL
  • NPI 1558586453
  Authorized official Same address or phone
• Cherokee Medical Center

  dba CMC-Center for Pediatrics

  • Rural Health Clinic/Center
  • Gaffney, SC
  • NPI 1265073381
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Immediate Care Center - Westside

  • Urgent Care Clinic/Center
  • Spartanburg, SC
  • NPI 1508819483

  Family Medicine

  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Urgent Care - Reidville Road

  • Urgent Care Clinic/Center
  • Spartanburg, SC
  • NPI 1760951867

  Family Medicine

  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas Pain Management Wood Street

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD

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

• Spartanburg Medical Center

  dba Spartanburg Medical Center- Psychiatric Unit

  • Psychiatric Hospital Unit
  • Spartanburg, SC
  • NPI 1033681630
  Care Compare affiliation
• Spartanburg Medical Center

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1326373697

  Hospital

  Care Compare affiliation
• Spartanburg Medical Center

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1609807122
  Care Compare affiliation
• Spartanburg Medical Center

  dba Spartanburg Medical Center-Center for Rehabilitative Medicine

  • Rehabilitation Hospital Unit
  • Spartanburg, SC
  • NPI 1942772546
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1659374122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TOWNPARK AVE SUITE 1011",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467605",
            "telephone_number": "407-804-9494",
            "fax_number": "407-804-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 TOWNPARK AVE STE 1011",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467605",
            "telephone_number": "407-804-9494",
            "fax_number": "407-804-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LANE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S7692",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF MEDICAL EXAMINERS",
            "identifier": "83416",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANE",
            "last_name": "PHILLIPS",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roungnapha Phasavath, BEHAVIOR TECHNICIAN
• Brooke Phelps
• Samantha Rhiannon Phifer
• Alexander Philipovskiy, M.D., PH.D
• Andell Y Phillip
• Roz N Phillips
• Paul Thorold Phinney III, PHYSICAL THERAPIST
• Phoenix Home Care Management LLC
• Phoenix Rising Now Corporation
• Physician Associates LLC (Orthopedic Institute of Central Florida)

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.