Individual provider Active NPI

Amy Cabaniss Clinton, APRN

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1114402245
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22144 Issued in SC
Practice address
1393 Celanese Rd
Rock Hill, SC 29732-1722
Phone
(803) 329-3103
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20181212002683 SC Practitioner - Nurse Practitioner 4789929183 Reassigns benefits to 2 organizations
I20191206001393 NC Practitioner - Nurse Practitioner 4789929183 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22144NCMDAddiction (Substance Use Disorder) Counselor
5012128NCMDFamily Nurse Practitioner
22144SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 21, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 21, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 21, 2019 Accepting new patients
American Current Care P.a. CurrentSince Jan 13, 2020 Accepting new patients
American Current Care of North Carolina, P.C. CurrentSince Jan 13, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
American Current Care PA CurrentSince Jan 13, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Arboretum Urgent Care Center CurrentSince Oct 21, 2019 Accepting new patients

Locations

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

8943 S Tryon St
Unit K
Charlotte, NC 28273
Phone (704) 588-0885

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715
Phone (704) 667-3380

4115 Dorchester Rd
Ste 100
North Charleston, SC 29405
Phone (843) 554-6737

1656 Riverchase Blvd
Ste 1800
Rock Hill, SC 29732
Phone (803) 909-1850

1393 Celanese Rd
Rock Hill, SC 29732
Phone (803) 329-3103

Interoperability endpoints

  • Direct secure messaging: aclinton396140@carolinashealthcaresystem.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012128 NC
Family Nurse Practitioner 363LF0000X 22144 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1393 Celanese Rd
Rock Hill, SC 29732-1722

Mailing address

4618 Benridge LN
Charlotte, NC 28226-3240

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2019.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1114402245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 BENRIDGE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321722",
            "telephone_number": "803-329-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "AMY",
        "middle_name": "CABANISS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012128",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.