NPIMap

Individual provider Active NPI

Amanda Turbeville Larson, MD

  • Surgery Physician
  • Little River, SC
National Provider Identifier
1508026444
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35895 Issued in SC
Practice address
3980 Highway 9 E
Suite 100-C
Little River, SC 29566-8163
Phone
(843) 399-9774
Fax
(843) 399-8657
NPI assigned
Jun 13, 2008
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35895 SC
Surgery Physician 208600000X 2016-00161 NC
Surgery Physician 208600000X 35895 SC Primary

Addresses

Primary practice location

3980 Highway 9 E
Suite 100-C
Little River, SC 29566-8163

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 399-9774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130909000109 SC Practitioner - Family PracticePractitioner - Peripheral Vascular DiseasePractitioner - General Surgery 7911140173 Reassigns benefits to 4 organizations
I20160815001869 NC Practitioner - General Surgery 7911140173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Medical University of South Carolina College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woundwise Solutions LLCGroup PAC ID 4981142361, 2 clinicians

Practice addresses (Care Compare)

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-8347

6020 Jibe CT
Awendaw, SC 29429-6024
Phone (843) 256-4349

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue546
Removal of skin lesions71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-00161NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Jan 1, 2024 Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Scmwc Inc CurrentSince Aug 1, 2024 Accepting new patients
Woundwise Solutions LLC CurrentSince Sep 1, 2024 Accepting new patients
SC Wound Solutions LLC Surgery CurrentSince Jan 1, 2026 Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Jul 6, 2016 Accepting new patients

Locations

10089 Willow Creek Rd
Ste 200
San Diego, CA 92131
Phone (858) 621-1514

690 Sunset Blvd N
Ste 109
Sunset Beach, NC 28468
Phone (843) 390-0100

690 Sunset Blvd N
Ste 208
Sunset Beach, NC 28468
Phone (910) 575-8488

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3600 Sea Mountain Hwy
Ste B
Little River, SC 29566
Phone (843) 366-3920

1117 48th Ave N
Ste 124
Myrtle Beach, SC 29577
Phone (619) 289-9356

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1508026444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-399-9774",
            "fax_number": "843-399-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E",
            "address_2": "SUITE 100-C",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668163",
            "telephone_number": "843-399-9774",
            "fax_number": "843-399-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "AMANDA",
        "middle_name": "TURBEVILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35895",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2016-00161",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "35895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.