Individual provider Active NPI

Amanda Duncan Moore

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1043288780
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1856 Issued in SC
Practice address
Taylor at Marion Streets
Palmetto Health Baptist
Columbia, SC 29201
Phone
(803) 296-2548
Fax
(803) 296-2548
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1856 SC Primary

Addresses

Primary practice location

Taylor at Marion Streets
Palmetto Health Baptist
Columbia, SC 29201

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (865) 522-3700

Other identifiers 1

IdentifierTypeStateIssuer
AN1206MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000879 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244241040 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Anesthesia AssociatesGroup PAC ID 3274446422, 111 clinicians
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1000

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-3076

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2023 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Anmed Health Nurse Anesthetist, Certified Registered Current Accepting new patients
Beach Anesthesia, LLC CurrentSince Feb 19, 2021 Accepting new patients
Prisma Health-Midlands CurrentSince Jun 3, 2003 Accepting new patients
Palmetto Health Services Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2012 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Anmed Health CurrentSince Jul 3, 2023 Accepting new patients
Prisma Health-Midlands CurrentSince Jun 3, 2003 Accepting new patients
Pain Management, LLC Past Accepting new patients

Locations

103 Gregg Ave NW
Aiken, SC 29801
Phone (803) 226-0799

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1043288780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAYLOR AT MARION STREETS",
            "address_2": "PALMETTO HEALTH BAPTIST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "865-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "DUNCAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "1856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1206",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.