Individual provider Active NPI

Amanda Rigsby, FNP-BC

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1306259429
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18046 Issued in TN
Practice address
2550 Elms Center Rd
North Charleston, SC 29406-9844
Phone
(843) 302-8840
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18046 TN Primary

Addresses

Primary practice location

2550 Elms Center Rd
North Charleston, SC 29406-9844

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727

Other identifiers 2

IdentifierTypeStateIssuer
NN0387MedicaidSC
Q005799MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140708000479 TN Practitioner - Nurse Practitioner 7315162302 Reassigns benefits to 1 organization
I20240814001754 SC Practitioner - Nurse Practitioner 7315162302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2550 Elms Ctr Rd
N Charleston, SC 29406
Phone (843) 695-6071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 8, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 8, 2024 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Dec 12, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

401 S Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 393-1709

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: amanda.rigsby@ppcp1.eclinicaldirectplus.com

Organizations & group practices 5

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1306259429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-572-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ELMS CENTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069844",
            "telephone_number": "843-302-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGSBY",
        "first_name": "AMANDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NN0387",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005799",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.