Amanda Copeland, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

20588 Issued in SC

Practice address

1600 Farrow Pkwy Unit B6
Myrtle Beach, SC 29577-2011

Phone

(843) 546-3410

Fax

(843) 839-3422

NPI assigned

Nov 20, 2016

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidelands GHS Joint Venture LLCGroup PAC ID 6800030578, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acopeland18686@directmcleodehealth.org

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.

• Tidelands GHS Joint Venture LLC

  dba Tidelands Community Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Georgetown, SC
  • NPI 1669878559
  Medicare reassignment Care Compare group NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba Cbo MRMC Emergency

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433
  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD
• Tidelands GHS Joint Venture LLC

  dba Tidelands Community Hospice

  • Community Based Hospice Care Agency
  • Georgetown, SC
  • NPI 1154303089
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1417490640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 VEREEN RD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767710",
            "telephone_number": "843-616-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FARROW PKWY UNIT B6",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772011",
            "telephone_number": "843-546-3410",
            "fax_number": "843-839-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2591 N Fraser St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294406411",
            "country_code": "US",
            "telephone_number": "843-546-3410",
            "fax_number": "843-527-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-20",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "20588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conway Hospital, Inc. (CMC Urgent Care Carolina Forest)
• Deborah Cook, PT
• Janna Elizabeth Cook
• Lindsay Cook
• Lauren Folgosa Cooley, M.D, PH.D
• Chelsea Coleman Copeland
• Coping Eap
• Chelsea Faith Copley, M.S., CF-SLP
• Cora South Carolina LLC (CORA Physical Therapy - Socastee)
• Angelique Marie Corbett, CPHT

• Gerontology Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.

Verify at the official NPI Registry.