DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC
NPI 1003009390
Dermatology - Dermatopathology in Mt Pleasant, SC

NPI Status: Active since August 21, 2007

Contact Information

1280 JOHNNIE DODDS BLVD
SUITE 101
MT PLEASANT, SC
ZIP 29464
Phone: (843) 375-0055

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  • Organization
  • Dermatology
  • Dermatopathology
  • CLIA Number: 42D1087626
  • CLIA Cert. Type: Compliance
  • CLIA Exp. Date: 04-30-2024

About DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC

Dermatopathology Specialists Jim Phillips Md Dermatopathologist Llc is a provider established in Mt Pleasant, South Carolina operating as a Dermatology with a focus in dermatopathology . The healthcare provider is registered in the NPI registry with number 1003009390 assigned on August 2007. The practitioner's primary taxonomy code is 207ND0900X with license number 8871 (SC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. James H. Phillips Md (Owner)

NPI
1003009390
Provider Name
DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC
Entity Type
Organization
Location Address
1280 JOHNNIE DODDS BLVD SUITE 101 MT PLEASANT, SC 29464
Location Phone
(843) 375-0055
Mailing Address
PO BOX 30309 CHARLESTON, SC 29417
Mailing Phone
(843) 554-9300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2007
Last Update Date
03-23-2009
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
8871
License State
SC
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAMES H. PHILLIPS MD

Authorized Official Title
OWNER
Authorized Official Phone
(843) 375-0055

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GP4721MEDICAID (05)SC 
8849MEDICARE PIN (08)SC 
DG5570MEDICARE PIN (08)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1087626
Facility Type
Independent
Certificate Effective Date
July 27, 2021
Certificate Expiration Date
April 30, 2024
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Dermatopathology Specialists Jim Phillips Md Dermatopathologist Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003009390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030018318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 8 + 3 + 1 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003009390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659345643 JENNIFER NELSON MAZUR PHARMD
Individual
Pharmacist1280 JOHNNIE DODDS BLVD SUITE 105
MOUNT PLEASANT, SC 29464
(843) 971-1046
1972570372DR. JAMES HARRISON PHILLIPS MD
Individual
Pathology (Dermatopathology)1280 JOHNNIE DODDS BLVD SUITE 104
MT PLEASANT, SC 29464
(843) 284-4799

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003009390, enumerated in the NPI registry as an "organization" on August 21, 2007

The provider is located at 1280 Johnnie Dodds Blvd Suite 101 Mt Pleasant, Sc 29464 and the phone number is (843) 375-0055

This medical organization specializes in Dermatology with taxonomy code 207ND0900X with a focus in Dermatopathology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 42D1087626 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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