NPIMap

Individual provider Active NPI

Amanda F McConnell, P.A.

  • Medical Physician Assistant
  • Turbeville, SC
National Provider Identifier
1588760284
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
854 Issued in SC
Practice address
1126 Clarence Coker Hwy
Turbeville, SC 29162
Phone
(843) 659-2114
Fax
(843) 659-2161
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 854 SC Primary

Addresses

Primary practice location

1126 Clarence Coker Hwy
Turbeville, SC 29162

Mailing address

1126 Clarence Coker Hwy
Turbeville, SC 29162
Phone (843) 659-2114

Other identifiers 1

IdentifierTypeStateIssuer
0257PAMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.mcconnell@mpaii.eclinicaldirectplus.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000263 SC Practitioner - Physician Assistant 0446145197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

800 E Cheves St
Florence, SC 29506-2650

944 Smith St
Turbeville, SC 29162-8983
Phone (843) 659-2114

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Florence County Hospital CurrentSince Jun 27, 2017 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 17, 2020 Accepting new patients
Sentinel Health Partners, PA Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Past Accepting new patients

Locations

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

258 N Ron McNair Blvd
Lake City, SC 29560
Phone (843) 374-2036

330 Mercy St
Lake City, SC 29560
Phone (843) 374-2036

1295 Wilson Hall Rd
Sumter, SC 29150
Phone (803) 905-6800

Interoperability endpoints

  • Direct secure messaging: amcconnell25964@directmcleodehealth.org
  • Direct secure messaging: amanda.mcconnell@mpaii.eclinicaldirectplus.com

Organizations & group practices 4

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 6

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1588760284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 CLARENCE COKER HWY",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "29162",
            "telephone_number": "843-659-2114",
            "fax_number": "843-659-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 CLARENCE COKER HWY",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "29162",
            "telephone_number": "843-659-2114",
            "fax_number": "843-659-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "AMANDA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.mcconnell@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1126 CLARENCE COKER HWY",
            "city": "TURBEVILLE",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Turbeville, SC

Sources for this page

Verify at the official NPI Registry.