Individual provider Active NPI

Amanda Lewis Calhoun, NP-C

  • Family Nurse Practitioner
  • Little River, SC
National Provider Identifier
1629317045
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18141 Issued in SC
Practice address
3980 Highway 9 E Ste 200
Little River, SC 29566-8164
Phone
(843) 903-4111
Fax
(843) 903-4242
NPI assigned
Feb 5, 2013
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006071 NC
Family Nurse Practitioner 363LF0000X 18141 SC Primary

Addresses

Primary practice location

3980 Highway 9 E Ste 200
Little River, SC 29566-8164

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 390-0100

Other names 1

  • Amanda Brooke Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000805 SC Practitioner - Nurse Practitioner 8022256981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
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)

3980 Hwy 9 E
Suite 200
Little River, SC 29566-8164
Phone (843) 390-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18141NCMDProfessional Counselor
5006071NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Feb 27, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 27, 2022 Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients

Locations

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

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

3600 Sea Mountain Hwy
Ste A
Little River, SC 29566
Phone (843) 399-9095

3793 McDowell Ln
Ste 100
Little River, SC 29566
Phone (843) 390-0100

3980 Highway 9 E
Ste 200
Little River, SC 29566
Phone (843) 390-0100

115 McLeod Health Blvd
Ste 301
Myrtle Beach, SC 29579
Phone (843) 390-0100

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

Hospital & facility affiliations 1

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1629317045",
    "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": "843-390-0100",
            "fax_number": "843-390-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 200",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668164",
            "telephone_number": "843-903-4111",
            "fax_number": "843-903-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "AMANDA",
        "middle_name": "LEWIS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006071",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LEWIS",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.