AUTUMN TERRY PHILLIPS APRN
NPI 1417843020
Nurse Practitioner in Greenville, SC

Q: What is Autumn Phillips's NPI number?

The NPI number for Autumn Phillips is 1417843020. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Q: What is Autumn Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Phillips was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2025PECOS Enrolled

8595 PELHAM RD STE 400, GREENVILLE, SC 29615(864) 316-8984(877) 337-6283 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Autumn Terry Phillips Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN TERRY PHILLIPS APRN (NPI 1417843020) is an individual nurse practitioner in Greenville, South Carolina, licensed in South Carolina (29967) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2024).

NPPES Registry Identity

NPI1417843020

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAUTUMN TERRY PHILLIPSCredential: APRN

Location Address8595 PELHAM RD STE 400Greenville, SC 29615-5763

Mailing Address255 Shadybrook DrSummerville, SC 29486-2480 · (843) 870-2048

Phone(864) 316-8984

Fax(877) 337-6283

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2024

Enumeration DateJune 18, 2025

NPPES CertifiedJune 18, 2025

✔ NPI 1417843020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 29967

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8595 PELHAM RD STE 400, Greenville, SC 29615

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Terry Phillips Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082113386

PECOS Enrollment IDI20250814003439

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERNADETTE ANNE LIM TAN MD

Family Medicine