1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Specialist
  6. NPI Profile

MRS. STACY PHILLIPS
NPI 1801307483
Specialist in Charleston, SC

Active since October 23, 2017
3015 SCUBA DR, CHARLESTON, SC 29414(843) 901-0824 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacy Phillips NPPES

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

MRS. STACY PHILLIPS (NPI 1801307483) is an individual specialist in Charleston, South Carolina, licensed in South Carolina (5889) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1801307483
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. STACY PHILLIPS
Location Address3015 SCUBA DRCharleston, SC 29414-5696
Mailing Address3015 Scuba DrCharleston, SC 29414-5696 · (843) 901-0824
Phone(843) 901-0824
Sole ProprietorYes
Enumeration DateOctober 23, 2017
✔ NPI 1801307483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 5889
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3015 SCUBA DR, Charleston, SC 29414
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mrs. Stacy Phillips

Other Providers at the Same Location NPPES

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

MINK TOTAL LLC
Durable Medical Equipment & Medical Supplies
3015 SCUBA DR
CHARLESTON, SC 29414
Charleston County (843) 901-0824

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 Stacy Phillips's NPI number?

The NPI number for Stacy Phillips is 1801307483. It was assigned to this individual provider in the NPPES registry on October 23, 2017. The provider is also known as Mrs. Stacy Phillips.

Where is Stacy Phillips located?

Stacy Phillips practices at 3015 Scuba Dr, Charleston, SC 29414. The listed phone number is (843) 901-0824.

What is Stacy Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacy Phillips was last updated on October 23, 2017. 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.