Individual provider Active NPI

Noel L Phipps, MD

  • Diagnostic Radiology Physician
  • Florence, SC
National Provider Identifier
1861489569
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26827 Issued in SC
Practice address
555 E Cheves St
Radiology Department
Florence, SC 29506-2617
Phone
(843) 669-5162
Fax
(843) 667-4573
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26827 SC Primary

Addresses

Primary practice location

555 E Cheves St
Radiology Department
Florence, SC 29506-2617

Mailing address

1303 Azalea CT
Ste C
Myrtle Beach, SC 29577-5765
Phone (843) 692-0570

Other identifiers 8

IdentifierTypeStateIssuer
D4049OtherSCMEDCOST
154758900OtherSCUS DEPT OF LABOR
570525838OtherSCSTANDARD TAX ID
P00133602OtherSCRAILROAD MEDICARE
154758900OtherSCFEDERAL BLACK LUNG
89067F5OtherNCNC MEDICAID
268277MedicaidSC
067F5OtherNCBCBS OF NC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000384 SC Practitioner - Diagnostic Radiology 8224014337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians

Practice addresses (Care Compare)

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1916

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
  • McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.77

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26827SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Mar 1, 2016 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1303 Azalea Ct
Ste C
Myrtle Beach, SC 29577
Phone (843) 962-0570

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1861489569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 AZALEA CT",
            "address_2": "STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775765",
            "telephone_number": "843-692-0570",
            "fax_number": "843-497-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHEVES ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "843-669-5162",
            "fax_number": "843-667-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "NOEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "26827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D4049",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "154758900",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANDARD TAX ID",
            "identifier": "570525838",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00133602",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "154758900",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "89067F5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268277",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "067F5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.