Active NPI
Phillip C Edmonds, MD
- Family Medicine Physician
- Boiling Springs, SC
National Provider Identifier
1720066038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23812
- Practice address
- 431 Bellport Dr
Boiling Springs, SC 29316-5389 - Phone
- (864) 216-9598
- Fax
- (864) 564-2245
- NPI assigned
- Jan 6, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23812 | SC | Primary |
Addresses
Primary practice location
431 Bellport Dr
Boiling Springs, SC 29316-5389
Mailing address
431 Bellport Dr
Boiling Springs, SC 29316-5389
Phone (864) 216-9598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238120 | Medicaid | SC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Parkside Acorn Dr
Inman, SC 29349-8344
145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388
Hospital & facility affiliations
- Spartanburg Medical Center
- Prisma Health Greenville Memorial Hospital
- Prisma Health Patewood Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23812 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Affiliate Physicians | Current | Accepting new patients | |
| Musc Affiliate Physicians | Family Medicine | Past | Accepting new patients |
Locations
145 E Poinsett St
Greer, SC 29651
Phone 86460356003222
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Charleston, SC
- NPI 1700465648
-
- Family Medicine Physician
- Charleston, SC
- NPI 1548849482
Hospital & facility affiliations 48
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1033664909
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1124574223
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1144775032
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1144914607
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1720066038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 BELLPORT DR",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293165389",
"telephone_number": "864-216-9598",
"fax_number": "864-564-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 BELLPORT DR",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293165389",
"telephone_number": "864-216-9598",
"fax_number": "864-564-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "PHILLIP",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "23812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238120",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boiling Springs, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.