Individual provider Active NPI

Amary Smith Doehling, FNP-C

  • Family Medicine Physician
  • Fort Mill, SC
National Provider Identifier
1164238408
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29703 Issued in SC
Practice address
1201 Carolna Place Dr
Fort Mill, SC 29708-0014
Phone
(704) 308-2557
NPI assigned
Dec 10, 2024
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29703 SC Primary

Addresses

Primary practice location

1201 Carolna Place Dr
Fort Mill, SC 29708-0014

Mailing address

3037 Hilton Rd
Rock Hill, SC 29732-9372
Phone (803) 230-0990

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

LicenseStateTypeSpecialty
29703SCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1164238408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 HILTON RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329372",
            "telephone_number": "803-230-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CAROLNA PLACE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297080014",
            "telephone_number": "704-308-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEHLING",
        "first_name": "AMARY",
        "middle_name": "SMITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "29703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.