Individual provider Active NPI

Amanda Glover Pyles, PA-C

  • Medical Physician Assistant
  • North Augusta, SC
National Provider Identifier
1366878969
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2452 Issued in SC
Practice address
105 E Hugh St
North Augusta, SC 29841-2925
Phone
(803) 279-6800
Fax
(803) 279-2876
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7002 GA
Medical Physician Assistant 363AM0700X 2452 SC Primary

Addresses

Primary practice location

105 E Hugh St
North Augusta, SC 29841-2925

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other identifiers 2

IdentifierTypeStateIssuer
2209PAMedicaidSC
2452OtherSCSC PA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.pyles.1@26418.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20150722005615 GA Practitioner - Physician Assistant 5991018764
I20170131000001 SC Practitioner - Physician Assistant 5991018764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

105 E Hugh St
North Augusta, SC 29841-2925
Phone 7066507799284

131 Rinehart Way
Aiken, SC 29803-1703
Phone (803) 335-2200

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2452SCMDPhysical Therapy Assistant
7002GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.pyles.1@26418.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1366878969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E HUGH ST",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412925",
            "telephone_number": "803-279-6800",
            "fax_number": "803-279-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLES",
        "first_name": "AMANDA",
        "middle_name": "GLOVER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7002",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PA LICENSE",
            "identifier": "2452",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.pyles.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "105 E Hugh St",
            "city": "North Augusta",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298412925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.