NPIMap

Individual provider Active NPI

Amy Marie Rodgers, FNP-BC

  • Family Nurse Practitioner
  • Due West, SC
National Provider Identifier
1104436799
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24049 Issued in SC
Practice address
6 College St
Due West, SC 29639-9554
Phone
(864) 379-2345
Fax
(864) 379-3228
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24049 SC Primary

Addresses

Primary practice location

6 College St
Due West, SC 29639-9554

Mailing address

PO Box 887
Abbeville, SC 29620-0887
Phone (864) 366-1649

Other names 1

  • Amy Marie Morrison Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228001979 SC Practitioner - Nurse Practitioner 3173936796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbeville County Memorial HospitalGroup PAC ID 7719891506, 46 clinicians

Practice addresses (Care Compare)

6 College St
Due West, SC 29639-9554
Phone (864) 379-2345

Hospital & facility affiliations

  • Abbeville Area Medical Center Hospital, Abbeville, SC, CCN 421301
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24049SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital CurrentSince Dec 10, 2023 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Dec 10, 2023 Accepting new patients
NHC Healthcare-Greenwood LLC CurrentSince Sep 10, 2020 Accepting new patients
Abbeville County Memorial Hospital Current Accepting new patients
Abbeville County Memorial Hospital Past Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

6 College St
Due West, SC 29639
Phone (864) 379-2345

437 Cambridge Ave E
Greenwood, SC 29646
Phone (864) 223-1950

Interoperability endpoints

  • Direct secure messaging: arodgers260882@selfregional.direct-ci.net

Organizations & group practices 7

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 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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1104436799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200887",
            "telephone_number": "864-366-1649",
            "fax_number": "864-366-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLLEGE ST",
            "city": "DUE WEST",
            "state": "SC",
            "postal_code": "296399554",
            "telephone_number": "864-379-2345",
            "fax_number": "864-379-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MORRISON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Due West, SC

Sources for this page

Verify at the official NPI Registry.