Kimberly R Phipps, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

C55814 Issued in CA

Practice address

777 Lowndes Hill Rd
Greenville, SC 29607-2101

Phone

(864) 908-3530

NPI assigned

Oct 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: krm118pcs@m1146.primeclinicalsystems.direct-ci.com
• Direct secure messaging: kimberly.phipps@407406382678020.direct.elationemr.com

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.

• The Los Angeles Free Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1194893248
  Medicare reassignment NPD
• The Los Angeles Free Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1336281179
  NPD
• The Los Angeles Free Clinic

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1558740852
  NPD
• Kiira Health Practice Ca PC

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1255939674
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1790773943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LOWNDES HILL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LOWNDES HILL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072101",
            "telephone_number": "864-908-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "C55814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Phillips, MD
• Nataska Renee Phillips
• Richard A Phillips, PHARMACIST
• Ronald S Phillips, DO
• Ryan Patrick Phillips, MA, LPC
• Phoenix Center
• Vanessa Phung
• Physicians Services Group, P.C.
• Mackenzie Lee Piano
• Andrew Piccione, LMT, LNMT

• Gynecology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.