Active NPI
Amanda W Peebles, FNP-C
- Women's Health Nurse Practitioner
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 21838
- Practice address
- 406 Brighton Park Blvd Ste 101
Summerville, SC 29486-3056 - Phone
- (854) 287-3560
- Fax
- (854) 287-3561
- NPI assigned
- Sep 28, 2018
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 21838 | SC | Primary |
Addresses
Primary practice location
406 Brighton Park Blvd Ste 101
Summerville, SC 29486-3056
Mailing address
880 Island Park Dr Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330
Other practice location 1
4278 Ladson Rd.
Summerville, SC 29485
Phone (843) 402-5283
Other practice location 2
1711 Clements Ferry Rd Unit 112
Charleston, SC 29492-8717
Phone (843) 606-7893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5557 | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4278 Ladson Rd
Ladson, SC 29456-5452
Phone (843) 203-2240
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21838 | SC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Past | Accepting new patients | |
| East Cooper Physician Group LLC | Past | Accepting new patients |
Locations
1711 Clements Ferry Rd
Unit 112
Charleston, SC 29492
Phone (843) 606-7893
880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330
3575 Maybank Hwy
Ste A
Johns Island, SC 29455
Phone (843) 402-1870
8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260
4278 Ladson Rd
Ladson, SC 29456
Phone (843) 203-2240
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Interoperability endpoints
- apeebles1236004@direct.bsmhealth.org
Organizations & group practices 7
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.
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Internal Medicine Physician
- Daniel Island, SC
- NPI 1861253981
-
dba Novant Health Diagnostic Imaging at East Cooper
- Body Imaging Physician
- Mt Pleasant, SC
- NPI 1699641571
-
dba Roper St. Francis Express Care
- Family Medicine Physician
- Ladson, SC
- NPI 1538510169
-
dba Roper St. Francis Physician Partners Charleston OB/GYN
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Family Medicine Physician
- Summerville, SC
- NPI 1730033945
-
dba Roper St. Francis Hospitalist Services
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1396220034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 ISLAND PARK DR UNIT 230",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294922902",
"telephone_number": "843-380-9330",
"fax_number": "843-380-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 BRIGHTON PARK BLVD STE 101",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294863056",
"telephone_number": "854-287-3560",
"fax_number": "854-287-3561"
}
],
"practiceLocations": [
{
"address_1": "4278 Ladson Rd.",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "29485",
"country_code": "US",
"telephone_number": "843-402-5283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 Clements Ferry Rd Unit 112",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294928717",
"country_code": "US",
"telephone_number": "843-606-7893",
"fax_number": "843-402-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEEBLES",
"first_name": "AMANDA",
"middle_name": "W",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "21838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5557",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.