NPIMap

Individual provider Active NPI

Amanda Darden Herrington, PA-C

  • Physician Assistant
  • Newton Grove, NC
National Provider Identifier
1588968812
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
301 Main St
Newton Grove, NC 28366
Phone
(910) 594-0003
Fax
(910) 594-0028
NPI assigned
Dec 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 0010-02671 NC
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

301 Main St
Newton Grove, NC 28366

Mailing address

607 Beaman St
Clinton, NC 28328
Phone (910) 592-8511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda-herrington@sampsonrps.e-mdsdirect.com Direct Sampson Regional Professional Services LLC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130805000098 NC Practitioner - Physician Assistant 6103068135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

607 Beaman St
Clinton, NC 28328-2603
Phone (910) 596-5402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-02671NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Regional Professional Services, LLC CurrentSince Jun 13, 2016 Accepting new patients
Sampson Regional Professional Services, LLC CurrentSince Jun 13, 2016 Accepting new patients
Sampson Regional Professional Services LLC. Family Medicine Past Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

301 Main St
Newton Grove, NC 28366
Phone (910) 594-0003

Interoperability endpoints

  • Direct secure messaging: amandaherrington@ecmc.allscriptsdirect.net

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 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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1588968812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "28328",
            "telephone_number": "910-592-8511",
            "fax_number": "910-596-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "NEWTON GROVE",
            "state": "NC",
            "postal_code": "28366",
            "telephone_number": "910-594-0003",
            "fax_number": "910-594-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "AMANDA",
        "middle_name": "DARDEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02671",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda-herrington@sampsonrps.e-mdsdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sampson Medical Group Direct Address",
            "affiliationName": "Sampson Regional Professional Services LLC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 Main St",
            "city": "Newton Grove",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283667723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton Grove, NC

Sources for this page

Verify at the official NPI Registry.