Active NPI
Amy Robertson Enloe
- Family Medicine Physician
- Pelzer, SC
National Provider Identifier
1124540331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0337068
- Practice address
- 430 Oaklawn Rd
Pelzer, SC 29669-9363 - Phone
- (864) 243-4700
- Fax
- (864) 243-4100
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0337068 | SC | Primary |
Addresses
Primary practice location
430 Oaklawn Rd
Pelzer, SC 29669-9363
Mailing address
430 Oaklawn Rd
Pelzer, SC 29669-9363
Phone (864) 243-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0337068 | SC | MD | Family Medicine Physician |
Interoperability endpoints
- amy.enloe.p1@direct.scdc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499644800000",
"number": "1124540331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 OAKLAWN RD",
"city": "PELZER",
"state": "SC",
"postal_code": "296699363",
"telephone_number": "864-243-4700",
"fax_number": "864-243-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 OAKLAWN RD",
"city": "PELZER",
"state": "SC",
"postal_code": "296699363",
"telephone_number": "864-243-4700",
"fax_number": "864-243-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENLOE",
"first_name": "AMY",
"middle_name": "ROBERTSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2017-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "0337068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelzer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.