Individual provider Active NPI

Amanda Jane Warner, D.P.M.

  • Foot Surgery Podiatrist
  • Columbia, SC
National Provider Identifier
1326570524
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
683 Issued in SC
Practice address
103 Summit Centre Dr
Columbia, SC 29229-7613
Phone
(803) 356-4712
Fax
(803) 356-0832
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 683 SC
Student in an Organized Health Care Education/Training Program 390200000X FL
Foot Surgery Podiatrist 213ES0131X 683 SC Primary

Addresses

Primary practice location

103 Summit Centre Dr
Columbia, SC 29229-7613

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

121 Park Place Ct
Lexington, SC 29072-6690
Phone (803) 356-4712

Other identifiers 1

IdentifierTypeStateIssuer
PD6835MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awarner110174@direct.lexmed.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403001525 SC Practitioner - Podiatry 6103255666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

121 Park Place CT
Lexington, SC 29072-6690
Phone (803) 356-4712

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue22
Removal of skin lesions35
Removal of nail tissue272
Removal or shaving of skin growth101
Skin biopsy36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
683SCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Podiatrist CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

3016 Longtown Commons Dr
Ste 200
Columbia, SC 29229
Phone (803) 314-9640

103 Summit Centre Dr
Columbia, SC 29229
Phone (803) 356-4712

3016 Longtown Commons Dr
Ste 220
Columbia, SC 29229
Phone (803) 356-4712

121 Park Place Ct
Lexington, SC 29072
Phone (803) 314-9850

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Interoperability endpoints

  • Direct secure messaging: awarner110174@direct.lexmed.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.

Hospital & facility affiliations 1

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1326570524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUMMIT CENTRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297613",
            "telephone_number": "803-356-4712",
            "fax_number": "803-356-0832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Park Place Ct",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290726690",
            "country_code": "US",
            "telephone_number": "803-356-4712",
            "fax_number": "803-356-0832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "683",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD6835",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awarner110174@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "121 Park Place Ct",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290726690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.