Active NPI
Amanda Drake Myers, DNP, FNP-C
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5009697
- Practice address
- 12610 N Community House Rd Ste 100
Charlotte, NC 28277-3892 - Phone
- (704) 752-3730
- Fax
- (704) 752-9056
- NPI assigned
- Jul 24, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5009697 | NC | Primary |
Addresses
Primary practice location
12610 N Community House Rd Ste 100
Charlotte, NC 28277-3892
Mailing address
205 N Main St
Wingate, NC 28174-8287
Other practice location 1
205 N Main St
Wingate, NC 28174-8287
Phone (704) 233-8102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Medical University of South Carolina College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12610 N Community House Rd
Suite 100
Charlotte, NC 28277-3892
Phone (704) 752-3730
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009697 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Urology Partners PLLC | Current | Accepting new patients | |
| Carolina Urology Partners, PLLC | Past | Accepting new patients |
Locations
12610 N Community House Rd
Ste 100
Charlotte, NC 28277
Phone (704) 610-3220
10650 Park Rd
Ste 130
Charlotte, NC 28210
Phone (704) 752-3730
9735 Kincey Ave
Ste 302
Huntersville, NC 28078
Phone (704) 414-2870
9735 Kincey Ave
Ste 201
Huntersville, NC 28078
Phone (704) 414-2865
Interoperability endpoints
- amanda.myers.p1@direct.cup.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- amyers832859@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 2
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.
-
- Urology Physician
- Huntersville, NC
- NPI 1013210004
-
- Urology Physician
- Rock Hill, SC
- NPI 1831445212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1619490372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N MAIN ST",
"city": "WINGATE",
"state": "NC",
"postal_code": "281748287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12610 N COMMUNITY HOUSE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773892",
"telephone_number": "704-752-3730",
"fax_number": "704-752-9056"
}
],
"practiceLocations": [
{
"address_1": "205 N Main St",
"address_purpose": "LOCATION",
"city": "Wingate",
"state": "NC",
"postal_code": "281748287",
"country_code": "US",
"telephone_number": "704-233-8102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "AMANDA",
"middle_name": "DRAKE",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.