Individual provider Active NPI

Angela Amick Thomas, FNP-C, AGACNP-BC

  • Family Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1053834705
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21171 Issued in SC
Practice address
171 Monroe LN
Lexington, SC 29072-3904
Phone
(803) 358-8496
Fax
(866) 614-3887
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 21171 SC
Family Nurse Practitioner 363LF0000X 21171 SC Primary

Addresses

Primary practice location

171 Monroe LN
Lexington, SC 29072-3904

Mailing address

21614 SC Highway 121
Whitmire, SC 29178-9410
Phone (803) 917-2496

Other names 1

  • Angela Renee Amick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108001716 SC Practitioner - Nurse Practitioner 2365708302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Medical LLCGroup PAC ID 5496056814, 5 clinicians
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

Lexington, SC 29072
Phone (803) 358-8496

116 Enterprise CT
Greenwood, SC 29649-1666
Phone (864) 651-9291

14 Richland Medical Park Dr
Suite 200
Columbia, SC 29203-6882
Phone (803) 296-7846

171 Monroe LN
Lexington, SC 29072-3904

218 Old Chapin Rd
Lexington, SC 29072-2030
Phone (803) 957-3600

320 Camp Rd
Walhalla, SC 29691-4811
Phone (864) 638-5212

431 E Boundary St
Chapin, SC 29036-8388
Phone (803) 345-1911

487 Hwy 378
Lexington, SC 29072-9177
Phone (803) 520-0985

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Centerwell Home Health Home health agency, Newberry, SC, CCN 427850
  • Medical Services of America Hospice of the Upstate Hospice, Greenville, SC, CCN 421554
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Medical LLC CurrentSince Oct 26, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 1, 2020 Accepting new patients
Palmetto Bone and Joint CurrentSince Nov 20, 2017 Accepting new patients

Locations

22971 Highway 76 E
Clinton, SC 29325
Phone (803) 833-3046

14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

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

14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200

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

1333 Taylor St
Ste 6F
Columbia, SC 29201
Phone (803) 296-3273

171 Monroe Ln
Lexington, SC 29072
Phone (803) 358-8496

171 Monroe Ln
#B
Lexington, SC 29072
Phone (803) 358-8496

2704 Kinard St
Newberry, SC 29108
Phone (803) 321-6254

2605 Kinard St
Ste 105
Newberry, SC 29108
Phone (803) 321-6254

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: athomas385222@direct.ghs.myhfn.org
  • Direct secure messaging: angela.thomas.1@31203.direct.athenahealth.com

Organizations & group practices 4

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1053834705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21614 SC HIGHWAY 121",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "291789410",
            "telephone_number": "803-917-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MONROE LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723904",
            "telephone_number": "803-358-8496",
            "fax_number": "866-614-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANGELA",
        "middle_name": "AMICK",
        "credential": "FNP-C,  AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "21171",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "AMICK",
            "middle_name": "RENEE",
            "credential": "FNP-C,  AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.