Individual provider Active NPI

Amy M Sprague, M.D.

  • Nephrology Physician
  • Georgetown, SC
National Provider Identifier
1629030598
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD61019589 Issued in WA
Practice address
606 Black River Rd
Georgetown, SC 29440-3368
Phone
(843) 527-7000
Fax
(843) 520-8403
NPI assigned
Apr 5, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD195005 OR
Internal Medicine Physician 207R00000X M15250 ID
Internal Medicine Physician 207R00000X C5383 KY
Nephrology Physician 207RN0300X MD195005 OR
Nephrology Physician 207RN0300X 15949 SC
Nephrology Physician 207RN0300X MD61019589 WA Primary
Nephrology Physician 207RN0300X 035145 GA
Hospitalist Physician 208M00000X MD195005 OR
Hospitalist Physician 208M00000X C5383 KY
Hospitalist Physician 208M00000X M-15250 ID

Addresses

Primary practice location

606 Black River Rd
Georgetown, SC 29440-3368

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6900

Other practice location 2

1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036

Other practice location 3

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1164

Other practice location 4

4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

Other identifiers 4

IdentifierTypeStateIssuer
15949OtherSCSC LICENSE #
035145OtherGAGA LICENSE #
G35145MedicaidSC
000506701IMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address asprague447755@direct.musc.edu Direct Waccamaw Community Hospital
Direct Messaging Address asprague447755@direct.musc.edu Direct Georgetown Memorial Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, TX, ID, OR, TN, SD, FL, NC, WA, KY11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20050329000661 SC Practitioner - Internal MedicinePractitioner - Nephrology 6204882673 Reassigns benefits to 8 organizations
I20050418001040 GA Practitioner - NephrologyPractitioner - Internal Medicine 6204882673 Reassigns benefits to 1 organization
I20210901004306 TX Practitioner - Internal MedicinePractitioner - Nephrology 6204882673 Reassigns benefits to 1 organization
I20211007001470 ID Practitioner - Hospitalist 6204882673 Reassigns benefits to 1 organization
I20211104002260 OR Practitioner - HospitalistPractitioner - Nephrology 6204882673 Reassigns benefits to 3 organizations
I20211130002737 TN Practitioner - Internal MedicinePractitioner - Neurology 6204882673 Reassigns benefits to 1 organization
I20220711001161 SD Practitioner - Hospitalist 6204882673 Reassigns benefits to 5 organizations
I20230112002355 FL Practitioner - Internal MedicinePractitioner - Nephrology 6204882673 Reassigns benefits to 3 organizations
I20230208002350 NC Practitioner - Internal Medicine 6204882673 Reassigns benefits to 5 organizations
I20250617004136 WA Practitioner - Internal Medicine 6204882673 Reassigns benefits to 2 organizations
I20260427001862 KY Practitioner - Internal MedicinePractitioner - Nephrology 6204882673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
24 On Physicians of SC LLCGroup PAC ID 5890127344, 136 clinicians
West Tennessee Healthcare Hospitalists IncGroup PAC ID 1951735521, 98 clinicians

Practice addresses (Care Compare)

1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6000

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M15250IDMDInternal Medicine Physician
035145GAMDNephrology Physician
15949SCMDNephrology Physician
M-15250IDMDHospitalist Physician
MD195005ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Apr 18, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Dec 31, 2024 Accepting new patients
Avera St Marys CurrentSince Oct 1, 2022 Accepting new patients
24 On Physicians of SC, LLC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Avera Queen of Peace CurrentSince May 18, 2022 Accepting new patients
Avera Queen of Peace Hospitalist Current Accepting new patients
Self Medical Group Nephrology CurrentSince Oct 1, 2024 Accepting new patients
Avera St. Luke's Internal Medicine Current Accepting new patients
Musc Community Physicians CurrentSince Jun 15, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince May 1, 2025 Accepting new patients
Salem Health West Valley CurrentSince Apr 9, 2024 Accepting new patients
Salem Health CurrentSince Apr 9, 2024 Accepting new patients
Self Regional Healthcare CurrentSince Sep 24, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Oct 21, 2021 Accepting new patients
Avera Queen of Peace CurrentSince May 18, 2022 Accepting new patients
Self Regional Healthcare Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jun 24, 2025 Accepting new patients
University Professional Services CurrentSince Jan 27, 2026 Accepting new patients
Avera St. Luke's CurrentSince Aug 2, 2022 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Avera St. Lukes Nephrology CurrentSince Aug 2, 2022 Accepting new patients
Salem Health CurrentSince Apr 9, 2024 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 21, 2025 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Self Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Rural Health Care, Inc Internal Medicine CurrentSince May 10, 2022 Accepting new patients
Avera St Marys CurrentSince Oct 1, 2022 Accepting new patients
Self Regional Healthcare Nephrology CurrentSince Sep 24, 2025 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2025 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
West Tennessee Healthcare Hospitalists Inc Hospitalist CurrentSince Jun 1, 2024 Accepting new patients
Sound Physicians of Idaho Internal Medicine CurrentSince Apr 18, 2024 Accepting new patients
Rural Health Care, Inc CurrentSince May 10, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jul 31, 2019 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Jun 15, 2024 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jun 24, 2025 Accepting new patients
Georgetown Memorial Hospital CurrentSince Apr 2, 2022 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Aug 1, 2023 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2025 Accepting new patients
Queens University Medical Group CurrentSince Jun 12, 2023 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Waccamaw Community Hospital CurrentSince Apr 2, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Apr 2, 2022 Accepting new patients
Self Medical Group Current Accepting new patients
Avera Queen of Peace Current Accepting new patients
Kootenai Health, Inc. CurrentSince May 1, 2025 Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients

Locations (25 of 63)

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

100 Wheatley Dr
Americus, GA 31709
Phone (229) 924-6011

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

75 Remittance Dr
#74978
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

Interoperability endpoints

  • Direct secure messaging: asprague101560@edirect.chehr.org
  • Direct secure messaging: asprague447755@direct.musc.edu
  • Direct secure messaging: asprague460615@ahs.direct-ci.com
  • Direct secure messaging: asprague640280@direct.multicare.org
  • Direct secure messaging: asprague755061@direct.lhs.org
  • Direct secure messaging: asprague80999@selfregional.direct-ci.net

Organizations & group practices 52

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.

View all 52

Hospital & facility affiliations 8

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1629030598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403368",
            "telephone_number": "843-527-7000",
            "fax_number": "843-520-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-6900",
            "fax_number": "208-625-6910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1123 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463833",
            "country_code": "US",
            "telephone_number": "864-450-9036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-1164",
            "fax_number": "503-494-5502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765033",
            "country_code": "US",
            "telephone_number": "843-652-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD195005",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M15250",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "C5383",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD195005",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "15949",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61019589",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "035145",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD195005",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "C5383",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-15250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE #",
            "identifier": "15949",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE #",
            "identifier": "035145",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G35145",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000506701I",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asprague447755@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Waccamaw Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4070 Highway 17 Bypass",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asprague447755@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.