Active NPI
Amber Lynn Thompson, PA-C
- Physician Assistant
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3085
- Practice address
- 3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862 - Phone
- (803) 434-8323
- Fax
- (803) 434-8326
- NPI assigned
- Oct 4, 2018
- Last updated
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3085 | SC | Primary |
Addresses
Primary practice location
3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8900
Phone (843) 792-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3875PA | Medicaid | SC |
Other names 1
- Amber Lynn Williamson
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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3085 | SC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Past | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- athompson592644@direct.ghs.myhfn.org
- awilliamson226105@direct.musc.edu
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba PH Oral & Maxillofacial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Columbia, SC
- NPI 1295222503
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
dba MUSC Physicians
- Internal Medicine Physician
- Charleston, SC
- NPI 1750432704
Physician Assistant
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1356816425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RICHLAND MEDICAL PARK DR STE 310",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036862",
"telephone_number": "803-434-8323",
"fax_number": "803-434-8326"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258900",
"country_code": "US",
"telephone_number": "843-792-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "AMBER",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "3085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3875PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "WILLIAMSON",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.