Individual provider Active NPI

Amanda Michele Fernandez, DO

  • Family Medicine Physician
  • Greer, SC
National Provider Identifier
1063049989
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94681 Issued in SC
Practice address
109 Physicians Dr Ste a
Greer, SC 29650-2446
Phone
(864) 797-9150
Fax
(864) 797-9155
NPI assigned
Mar 23, 2020
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94681 SC Primary
Family Medicine Physician 207Q00000X 2021-02730 NC

Addresses

Primary practice location

109 Physicians Dr Ste a
Greer, SC 29650-2446

Mailing address

220 5TH Ave E
Attn: Provider Enrollment Dept
Hendersonville, NC 28792-4377

Other practice location 1

2579 Chimney Rock Rd
Hendersonville, NC 28792-9181
Phone (828) 692-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230918003456 NC Practitioner - Family Practice 5799100319 Reassigns benefits to 1 organization
I20250911001480 SC Practitioner - Family Practice 5799100319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 Physicians Dr
Suite a
Greer, SC 29650-2446
Phone (864) 797-9150

98 Doctors Dr
Suite 200
Sylva, NC 28779-4502
Phone (828) 586-8971

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2021-02730NCMDFamily Medicine Physician
94681SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 6, 2025 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Oct 6, 2025 Accepting new patients
DLP Western Carolina Physician Practices LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Ste 300
Greenville, SC 29601

109 Physicians Dr
Ste A
Greer, SC 29650
Phone (864) 797-1050

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: afernandez884688@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1063049989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "address_2": "ATTN: PROVIDER ENROLLMENT DEPT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PHYSICIANS DR STE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502446",
            "telephone_number": "864-797-9150",
            "fax_number": "864-797-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2579 Chimney Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287929181",
            "country_code": "US",
            "telephone_number": "828-692-4289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "94681",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.