Amanda S Davis, M.D.
Individual provider Active NPI Family Medicine Physician · Anderson, SC
NPI 1013123371 · NPPES record last updated May 20, 2014
Key facts
- NPI
- 1013123371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32866 (SC)
- Practice address
- 2000 E Greenville St
Suite 3700
Anderson, SC 29621-1580 - Phone
- (864) 512-1475
- Fax
- (864) 512-1930
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anmed Health
Practice addresses (Care Compare)
2000 E Greenville St
Anderson, SC 29621-1580
Phone (864) 512-3076
Hospital & facility affiliations
- Anmed Home Health Agency
- Anmed Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019000962 | SC | Practitioner - Family Practice | 0446443733 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32866 | SC | MD | Family Medicine Physician |
| MT190771 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Family Medicine | Current |
Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Current |
Accepting new patients | |
| Anmed Health | Family Medicine | Current |
Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Past | Accepting new patients | |
| Anmed Health | Past | Accepting new patients |
Locations
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473
1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
2110 Highway 86
Ste C
Piedmont, SC 29673
Phone (864) 512-7018
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- adavis8191@direct.anmedhealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT190771 | PA | |
| Family Medicine Physician | 207Q00000X | 32866 | SC | Yes |
Addresses
Primary practice location
2000 E Greenville St
Suite 3700
Anderson, SC 29621-1580
Mailing address
2000 E Greenville St
Suite 3700
Anderson, SC 29621-1580
Phone (864) 512-1475
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328666 | Medicaid | SC | |
| P00963295 | Other | SC | RR MEDICARE |
NPI Registry JSON
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1013123371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST",
"address_2": "SUITE 3700",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211580",
"telephone_number": "864-512-1475",
"fax_number": "864-512-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST",
"address_2": "SUITE 3700",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211580",
"telephone_number": "864-512-1475",
"fax_number": "864-512-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT190771",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "32866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328666",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00963295",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
- David L. Kyle, Jr., M.D.
- Joseph Davidson
- Larry Steve Davidson
- John Wallace Davies II
- Davis Home Medical Supply, LLP
- Caroline Davis
- Kaitlynn Davis
- Lindsey Ann Davis
- Lori Davis
- Mark Davis
All providers in Anderson, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.