Amber Hendricks
Individual provider Active NPI Family Medicine Physician · Landrum, SC
NPI 1225058910 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1225058910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- LL29133 (SC)
- Practice address
- 1000 E Rutherford St
Landrum, SC 29356-1727 - Phone
- (864) 457-4141
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 18, 2013 through Aug 18, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL29133 | SC | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL29133 | SC | Yes |
Addresses
Primary practice location
1000 E Rutherford St
Landrum, SC 29356-1727
Mailing address
1000 E Rutherford St
Landrum, SC 29356-1727
Phone (864) 457-4141
Other providers in Landrum, SC
- Rori Delaram Ghahreman
- Emily Park Gilliam
- Anna Gilman
- Jamie Hall
- Linda F Hembree
- Lily Hill
- Hospice of Rutherford County, Inc
- Hospice of the Carolina Foothills, Inc
- Ingles Markets Inc.
- International Investments Group LLC
All providers in Landrum, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.