Amanda Lewis Calhoun, NP-C
Individual provider Active NPI Family Nurse Practitioner · Little River, SC
NPI 1629317045 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1629317045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 18141 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
3980 Hwy 9 E
Suite 200
Little River, SC 29566-8164
Phone (843) 390-0100
Hospital & facility affiliations
- McLeod Loris Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130604000805 | SC | Practitioner - Nurse Practitioner | 8022256981 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006071 | NC | MD | Family Nurse Practitioner |
| 18141 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Family | Past | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
3793 McDowell Ln
Ste 100
Little River, SC 29566
Phone (843) 390-0100
3600 Sea Mountain Hwy
Ste A
Little River, SC 29566
Phone (843) 399-9095
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006071 | NC | |
| Family Nurse Practitioner | 363LF0000X | 18141 | SC | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2410 | Medicaid | SC |
Other names
- Amanda Brooke Lewis
Other providers in Little River, SC
- Olivia Grace Burdick
- Marlon G Burt
- Linda Buster
- Alana Cahill-Rodriguez
- Glorimar Caldera Alvarado
- Jerry A Camisa
- Colin D Canham
- Sarah Lookabaugh Canham
- Rickie C Cannon Jr.
- Philip Caravella
All providers in Little River, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.