Amanda Cowart

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

48154 Issued in SC

Practice address

107 Melvin LN
Williamston, SC 29697-9363

Phone

(864) 847-7377

Fax

(864) 847-3502

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anderson County School District One

  • Local Education Agency (LEA)
  • Williamston, SC
  • NPI 1104973577
  NPD (past)

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1295166163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "WILLIAMSTON",
            "state": "SC",
            "postal_code": "296970099",
            "telephone_number": "864-847-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MELVIN LN",
            "city": "WILLIAMSTON",
            "state": "SC",
            "postal_code": "296979363",
            "telephone_number": "864-847-7377",
            "fax_number": "864-847-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "48154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104973577",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Bryant, APRN
• Kevin Walter Burnham, PA-C
• CBH of Anderson, Operating, LLC
• Complete Healing & Wellness Center P.a.
• Sarah Nicole Roper Cornell, FNP
• Robin Crawford, RN
• Andrew D'Agostino
• Jan Dawkins, SCHOOL PSYCHOLOGIST
• Christie Dorsey
• Robert M. Durham, DC

• All providers in Williamston, SC
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.