Samantha Jenkins Amick, MCD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Woodruff, SC
NPI 1255775730 · NPPES record last updated Apr 26, 2013
Key facts
- NPI
- 1255775730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3842 (SC)
- Practice address
- 915 Cross Anchor Road
Woodruff, SC 29388 - Phone
- (864) 476-3123
- NPI assigned
- Apr 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Weston Group of South Carolina Inc
Practice addresses (Care Compare)
355 Berkmans LN
Greenville, SC 29605-5606
Phone (864) 467-0031
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251216000007 | SC | Practitioner - Qualified Speech Language Pathologist | 4082108188 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3842 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group of South Carolina Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
355 Berkmans Ln
Greenville, SC 29605
Phone (864) 235-9020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3842 | SC | Yes |
Addresses
Primary practice location
915 Cross Anchor Road
Woodruff, SC 29388
Mailing address
915 Cross Anchor Road
Woodruff, SC 29388
Other providers in Woodruff, SC
- Austin G Abellana
- James H Allen
- Mary Edith Allen
- Morgan Rena Andrews
- John Armbruster
- Thomas Edward Balint
- Vincent Keith Barnhill
- Charles Baumgardner
All providers in Woodruff, SC · Speech-Language Pathologist 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 Apr 26, 2013. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.