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JOHN GORDON PHILLIPS M.D.
NPI 1790731412
Otolaryngology in Greenville, SC

Active since May 25, 2006PECOS Enrolled
200 PATEWOOD DR, SUITE B-400, GREENVILLE, SC 29615(864) 454-4368(864) 454-4348 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Gordon Phillips M.d. NPPES

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

JOHN GORDON PHILLIPS M.D. (NPI 1790731412) is an individual otolaryngology provider in Greenville, South Carolina, licensed in South Carolina (15939) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790731412
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN GORDON PHILLIPSCredential: M.D.
Location Address200 PATEWOOD DR, SUITE B-400Greenville, SC 29615-3593
Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536 · (864) 797-6303
Phone(864) 454-4368
Fax(864) 454-4348
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 16, 2018
✔ NPI 1790731412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in SC · 15939
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 PATEWOOD DR, Greenville, SC 29615
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Other Identifiers 2

Other040010804SC · Railroad Medicare
Medicaid159394SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Gordon Phillips M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 20

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

CHARLOTTE BOCCHINO PT
Physical Therapist
200 PATEWOOD DR, STE C150
GREENVILLE, SC 29615
Greenville County (864) 454-0904
DOMINIC BRUNO GAULT M.D.
Pediatrics (Sleep Medicine)
200 PATEWOOD DR, STE A330
GREENVILLE, SC 29615
Greenville County (864) 454-5660
SANDRA T CALMES NP
Nurse Practitioner (Acute Care)
200 PATEWOOD DR, STE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Pediatrics (Pediatric Infectious Diseases)
200 PATEWOOD DR, SUITE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5100
GREENVILLE HOSPITAL SYSTEM
Clinic/Center (Radiology)
200 PATEWOOD DR, SUITE A16
GREENVILLE, SC 29615
Greenville County (864) 454-2604
JOHN J KUDLAK JR. D.O.
Internal Medicine (Pulmonary Disease)
200 PATEWOOD DR, SUITE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
BRUCE HARVEY GRAY D.O.
Internal Medicine
200 PATEWOOD DR, SUITE C300
GREENVILLE, SC 29615
Greenville County (864) 454-8272
MENG ZHOU-WANG MD
Psychiatry & Neurology (Clinical Neurophysiology)
200 PATEWOOD DR, SUITE B350
GREENVILLE, SC 29615
Greenville County (864) 454-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Phillips's NPI number?

The NPI number for John Phillips is 1790731412. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is John Phillips located?

John Phillips practices at 200 Patewood Dr Suite B-400, Greenville, SC 29615. The listed phone number is (864) 454-4368.

What is John Phillips's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Phillips enrolled in Medicare?

Yes. John Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Phillips was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.