NPIMap

Individual provider Active NPI

Amanda Lynn Whitehead, NP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1194565515
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.29187 Issued in SC
Practice address
233 Longtown Rd
Columbia, SC 29229-8550
Phone
(803) 865-2122
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN.29187 SC
Adolescent Medicine (Family Medicine) Physician 207QA0000X APN.29187 SC
Family Nurse Practitioner 363LF0000X APN.29187 SC Primary

Addresses

Primary practice location

233 Longtown Rd
Columbia, SC 29229-8550

Mailing address

324 Avensong TRL
Elgin, SC 29045-7141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awjotejead202289@direct.lexmed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015000637 SC Practitioner - Nurse Practitioner 9537691654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Family Practice LLCGroup PAC ID 4284658865, 4 clinicians
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

115 Blarney Dr
Columbia, SC 29223-6291
Phone (803) 254-5171

233 Longtown Rd
Columbia, SC 29229-8550
Phone (803) 865-2122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.29187SCMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Apr 1, 2026 Accepting new patients
Lexington Health Inc CurrentSince Apr 1, 2026 Accepting new patients
Providence Family Practice LLC CurrentSince Oct 4, 2024 Accepting new patients

Locations

233 Longtown Rd
Columbia, SC 29229
Phone (803) 788-0268

7033 Saint Andrews Rd
Ste 305
Columbia, SC 29212
Phone (803) 749-9920

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1194565515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 AVENSONG TRL",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290457141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LONGTOWN RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298550",
            "telephone_number": "803-865-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "APN.29187",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "SC",
            "license": "APN.29187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.29187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awjotejead202289@direct.lexmed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "233 Longtown Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.