Individual provider Active NPI

Japonica Lameka Phillips, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1992576987
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28259 Issued in SC
Practice address
99 Windsorcrest Rd
Columbia, SC 29229-7106
Phone
(803) 727-8901
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28259 SC Primary

Addresses

Primary practice location

99 Windsorcrest Rd
Columbia, SC 29229-7106

Mailing address

99 Windsorcrest Rd
Columbia, SC 29229-7106
Phone (803) 727-8901

Other names 1

  • Japonica Lameka Davis Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610001850 SC Practitioner - Nurse Practitioner 5597275479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eau Claire Cooperative Health Center, Inc.Group PAC ID 3274434220, 45 clinicians

Practice addresses (Care Compare)

4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 714-0266

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Mar 21, 2025 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Mar 21, 2025 Accepting new patients

Locations

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

4605 Monticello Rd
Bldg A
Columbia, SC 29203
Phone (803) 252-7001

Interoperability endpoints

  • Direct secure messaging: japonica.phillips.1@10781.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1992576987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WINDSORCREST RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297106",
            "telephone_number": "803-727-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WINDSORCREST RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297106",
            "telephone_number": "803-727-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAPONICA",
        "middle_name": "LAMEKA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAPONICA",
            "last_name": "DAVIS",
            "middle_name": "LAMEKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.