Individual provider Active NPI

Amanda Grace Holcomb, DPM

  • Podiatrist
  • Quincy, IL
National Provider Identifier
1255954632
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016006093 Issued in IL
Practice address
1118 Hampshire St
Quincy, IL 62301-3027
Phone
(217) 222-6550
NPI assigned
May 20, 2020
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2024047859 MO
Podiatrist 213E00000X 016006093 IL Primary

Addresses

Primary practice location

1118 Hampshire St
Quincy, IL 62301-3027

Mailing address

1118 Hampshire St
Quincy, IL 62301-3027
Phone (217) 222-6550

Other practice location 1

2305 Georgia St
Louisiana, MO 63353-2559
Phone (573) 754-5531 ext. 7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250113003074 MO Practitioner - Podiatry 9830552702 Reassigns benefits to 4 organizations
I20250213003214 TN Practitioner - Podiatry 9830552702 Reassigns benefits to 1 organization
I20250325001393 IL Practitioner - Podiatry 9830552702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pike County Memorial HospitalGroup PAC ID 8123015518, shared by 6 NPIs, 31 clinicians

Practice addresses (Care Compare)

1118 Hampshire St
Quincy, IL 62301-3027
Phone (217) 222-6550

2305 Georgia St
Louisiana, MO 63353-2559

2305 W Georgia
Louisiana, MO 63353-2559

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue385
Removal or shaving of skin growth87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
976TNMDOptometrist
016006093ILMDPodiatrist
2024047859MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Hospital District CurrentSince May 20, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Pike County Memorial Hospital CurrentSince Aug 4, 2025 Accepting new patients
Schuyler County Hospital District CurrentSince May 20, 2025 Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Pike County Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Pike County Memorial Hospital CurrentSince Aug 4, 2025 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Current Accepting new patients
Aria Podiatry Care PLLC Podiatrist CurrentSince Dec 5, 2024 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Aria Dental Care PC Past Accepting new patients
Schuyler County Hospital District Past Accepting new patients

Locations

320 N Madison St
Pittsfield, IL 62363
Phone (217) 285-9601

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

1118 Hampshire St
Quincy, IL 62301
Phone (217) 222-6500

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (888) 674-1211

7001 Cleveland Ave
Kansas City, MO 64132
Phone (816) 228-5665

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

Interoperability endpoints

  • Direct secure messaging: aholcomb1174746@direct.unitypoint.org
  • Direct secure messaging: aholcomb403906@direct.saint-lukes.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1255954632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 HAMPSHIRE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013027",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 HAMPSHIRE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013027",
            "telephone_number": "217-222-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Louisiana",
            "state": "MO",
            "postal_code": "633532559",
            "country_code": "US",
            "telephone_number": "573-754-5531 x7111",
            "fax_number": "573-754-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2024047859",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.