Individual provider Active NPI

Amy McAlpine Deaton, MD

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1235111691
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11381 Issued in SC
Practice address
316 Calhoun Street
Charleston, SC 29401
Phone
(843) 724-2000
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 11381 SC Primary

Addresses

Primary practice location

316 Calhoun Street
Charleston, SC 29401

Mailing address

PO Box 2363
Indianapolis, IN 46206-2363
Phone (843) 724-2154

Other identifiers 2

IdentifierTypeStateIssuer
113816MedicaidSC
300056959OtherSCRR MEDICARE-SC

Other names 1

  • Amy M Bethea Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000405 SC Practitioner - Diagnostic Radiology 4587798061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11381SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Radiologists PA Diagnostic Radiology CurrentSince May 1, 1994 Accepting new patients
James Island Physical Therapy Past Accepting new patients

Locations

2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957

3 S Park Cir
Ste 240
Charleston, SC 29407

333 Folly Rd
Charleston, SC 29412
Phone (843) 406-9889

125 Doughty St
Charleston, SC 29403
Phone (843) 724-2086

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2750 Speissegger Dr
North Charleston, SC 29405
Phone (843) 724-2061

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1235111691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2363",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062363",
            "telephone_number": "843-724-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29401",
            "telephone_number": "843-724-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATON",
        "first_name": "AMY",
        "middle_name": "MCALPINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "11381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113816",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-SC",
            "identifier": "300056959",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BETHEA",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.