Amanda Walton

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4743 Issued in SC

Practice address

313 Main St Ste a
Greenwood, SC 29646-2757

Phone

(864) 229-4446

NPI assigned

Feb 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awalton615109@direct.ochin.org

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.

• Carolina Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenwood, SC
  • NPI 1306979521

  SC

  Medicare reassignment
• Carolina Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenwood, SC
  • NPI 1518338698
  NPD
• Carolina Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newberry, SC
  • NPI 1669166054
  NPD

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1104522150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105B BUTTERCUP WAY",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872570",
            "telephone_number": "864-365-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462757",
            "telephone_number": "864-229-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23265 Highway 76 E",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257532",
            "country_code": "US",
            "telephone_number": "864-547-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Liner Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296462311",
            "country_code": "US",
            "telephone_number": "864-941-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Walker
• Joshua Walker, PA-C
• Kimberly D Walker, CRNA
• Rosanna Walker, DNP
• Savannah Marie Wall
• Alexandre Wang
• Jimmy Wang, MD
• Bret J Warner, MD
• William R Warner, MD
• Melodie M. Waters, MSW

• All providers in Greenwood, SC
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.