Active NPI
Amy Cabaniss Clinton, APRN
- Family Nurse Practitioner
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22144
- 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.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1306015102
NC
-
- Family Medicine Physician
- Rock Hill, SC
- NPI 1003288093
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Internal Medicine Physician
- Kings Mountain, NC
- NPI 1063854057
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22144 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 5012128 | NC | MD | Family Nurse Practitioner |
| 22144 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care of North Carolina, P.C. | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Arboretum Urgent Care Center | Current | 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
- aclinton396140@carolinashealthcaresystem.direct-ci.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5012128 | NC | |
| Family Nurse Practitioner | 363LF0000X | 22144 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.