Clyde Phillips


Address: 1464 Medical Park Cir, Tupelo, MS 38801-6595
Phone: 6628448699

Clyde Phillips (NPI# 1679571491, PAC ID# 6901975978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1679571491
PAC ID by PECOS 6901975978
Professional Enrollment ID I20080516000027
Full Name Clyde Phillips
Address 1464 Medical Park Cir
Tupelo
MS 38801-6595
Phone Number 6628448699
Gender M
Medical School UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty ORTHOPEDIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250004 NORTH MISSISSIPPI MEDICAL CENTER

Other Locations

Address Phone Organization
1464 Medical Park Cir, Tupelo, MS 38801-6595 6628448699

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 100%
ACI_EC_TRANS_EP_1 e-Prescribing 100%
ACI_EC_TRANS_MR_1 Medication Reconciliation 99%
ACI_EC_TRANS_MR_1 Medication Reconciliation 99%
ACI_EC_TRANS_PEA_1 Provide Patient Access 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 100%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 0%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 0%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 16%
ACI_EC_TRANS_PSE_1 Patient-Specific Education 16%
ACI_EC_TRANS_SM_1 Secure Messaging 0%
ACI_EC_TRANS_SM_1 Secure Messaging 0%

Organization Information

Office Location

Street Address 1464 MEDICAL PARK CIR
City TUPELO
State MS
Zip 38801-6595

Physicians in the same location

Name Specialty Organization Address
James L White Orthopedic Surgery 1464 Medical Park Cir, Tupelo, MS 38801-6595

Physicians in the same zip code

Name Specialty Organization Address
Douglas Porter Anderson Physician Assistant 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801
Sylvia Blanchard Nurse Practitioner 109 Parkgate, Tupelo, MS 38801
Lloyd Perry Britt Jr. Optometry 2270 W Main, Suite A, Tupelo, MS 38801-3144
Katie Elizabeth Richardson Optometry 2005 W Main St, Suite 102, Tupelo, MS 38801-3214
Rickey H Bullard Podiatry 1902 W Main St, Tupelo, MS 38801-3228
Chika Uchechukwu Iwueke Psychiatry 1601 W Main St, Suite D, Tupelo, MS 38801-3300
James Byron Shipp Ophthalmology 1413 W Main St, Tupelo, MS 38801-3400
Michelle M Hill Qualified Speech Language Pathologist Ear, Nose and Throat Physicians of North Miss., P.a 323 N Gloster St, Tupelo, MS 38801-3623
Janet H Smith Physical Therapy Ear, Nose and Throat Physicians of North Miss., P.a 323 N Gloster St, Tupelo, MS 38801-3623
Lee A Stewart Physical Therapy Ear, Nose and Throat Physicians of North Miss., P.a 323 N Gloster St, Tupelo, MS 38801-3623
Find all physicians in zip 38801

Competitor

Search similar physicians

City TUPELO
Zip Code 38801
Specialty ORTHOPEDIC SURGERY
City + Specialty TUPELO + ORTHOPEDIC SURGERY

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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