Gregory R Phillips, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN240465 Issued in GA

Practice address

500 Academy St S
Ahoskie, NC 27910-3248

Phone

(252) 209-3000

NPI assigned

Jun 25, 2008

Last updated

Dec 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Gregory R Phillips Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA, NC, VA, SC, TN5 enrollments

Enrollment records 5

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians

Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Tidelands Anesthesia Group LLCGroup PAC ID 5395258065, 51 clinicians

Covenant Anesthesia Group PCGroup PAC ID 6901795830, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
• Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
• Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
• Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Covenant Anesthesia Group, PC

  dba MMC Anesthesia Group, PC

  • Anesthesiology Physician
  • Oak Ridge, TN
  • NPI 1639148117
  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, SC

  Medicare reassignment Care Compare group NPD
• Tidelands Anesthesia Group LLC

  • Anesthesiology Physician
  • Georgetown, SC
  • NPI 1144017781
  Medicare reassignment Care Compare group NPD
• Sweet Dreams Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1508133497
  Medicare reassignment Care Compare group
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Aaoc Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
  • NPI 1578827069

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• American Anesthesiology of Virginia PC

  • Anesthesiology Physician
  • Falls Church, VA
  • NPI 1417994872
  Medicare reassignment NPD
• Anesthesia Care Services, PA

  • Certified Registered Nurse Anesthetist
  • Forest, VA
  • NPI 1609833474

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545
  Medicare reassignment NPD
• Southeast Georgia Anesthesia LLC

  • Anesthesiology Physician
  • Waycross, GA
  • NPI 1265518849
  Medicare reassignment NPD
• American Anesthesiology of Virginia, PC

  • Anesthesiology Physician
  • Leesburg, VA
  • NPI 1053675199
  NPD
• Memorial Health Partners Foundation Inc

  dba CHI Memorial Family Practice Associates - Lafayette

  • Rural Health Clinic/Center
  • La Fayette, GA
  • NPI 1760632780
  NPD

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

• Georgetown Memorial Hospital

  dba Tidelands Health Skilled Care

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056

  Hospital

  Care Compare affiliation
• Georgetown Memorial Hospital

  dba Tidelands Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation
• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • General Acute Care Hospital
  • McMinnville, TN
  • NPI 1518346469
  Care Compare affiliation
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • Ambulatory Surgical Clinic/Center
  • McMinnville, TN
  • NPI 1558742304

  Hospital

  Care Compare affiliation
• Waccamaw Community Hospital

  dba Tidelands Waccamaw Community Hospital

  • General Acute Care Hospital
  • Murrells Inlet, SC
  • NPI 1972503910
  Care Compare affiliation

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1659533230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103248",
            "telephone_number": "252-209-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103248",
            "telephone_number": "252-209-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave Ste 1D03",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145641",
            "country_code": "US",
            "telephone_number": "423-432-2917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GREGORY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000143740",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "5172",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN240465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gphillips112374@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gphillips112374@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "PHILLIPS",
            "middle_name": "R",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madhu Parmar, M.D.
• Thomas E. Parrish, P.A.-C
• David Jason Perdue, MSW, LCSW
• Mary Kathleen Boone Perry, FNP
• Romel G Perry, FNP-BC
• Charles G Pierce, M.D.
• Mary Walters Pierce, MS CCC SLP
• Pinewood Manor Assisted Linving, Inc.
• Place of Purpose
• Polished Pearls Counseling and Coaching Services PLLC

• Certified Registered Nurse Anesthetist in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.