Active NPI
Amy Hart Caldwell, FNP-BC
- Family Nurse Practitioner
- Seneca, SC
National Provider Identifier
1649612979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18411
- Practice address
- 109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152 - Phone
- (864) 885-0058
- Fax
- (864) 885-0098
- NPI assigned
- Jul 29, 2013
- 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 | 18411 | SC | Primary |
Addresses
Primary practice location
109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152
Mailing address
2210 Laurens Rd
Greenville, SC 29607-3224
Phone (864) 288-8280
Other practice location 1
2210 Laurens Rd
Greenville, SC 29607-3224
Phone (864) 288-8280
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131016001278 | SC | Practitioner - Nurse Practitioner | 3870727332 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keowee Primary Care and Internal Medicine PC
Practice addresses (Care Compare)
109 Carter Park Dr
3A
Seneca, SC 29678-1152
Phone (864) 885-0058
Hospital & facility affiliations
- Centerwell Home Health
- Anmed Health
- St Francis-Downtown
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18411 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Comprehensive Pain Management Group LLC | Current | Accepting new patients | |
| Piedmont Comprehensive Pain Management Group LLC | Current | Accepting new patients | |
| Keowee Primary Care & Internal Medicine PC | Current | Accepting new patients | |
| Medi Urgent Care Center Inc | Past | Accepting new patients |
Locations
100 Healthy Way
Ste 1260
Anderson, SC 29621
Phone (864) 225-3551
3 Saint Francis Dr
Ste 480
Greenville, SC 29601
Phone (864) 269-4416
109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420
109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058
Organizations & group practices 4
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.
-
- Interventional Pain Medicine Physician
- Anderson, SC
- NPI 1609815562
SC
-
- Interventional Pain Medicine Physician
- Greenville, SC
- NPI 1295159705
-
- Urgent Care Clinic/Center
- Seneca, SC
- NPI 1225075468
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anderson, SC
- NPI 1669846382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1649612979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 LAURENS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073224",
"telephone_number": "864-288-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 CARTER PARK DR STE 3A",
"city": "SENECA",
"state": "SC",
"postal_code": "296781152",
"telephone_number": "864-885-0058",
"fax_number": "864-885-0098"
}
],
"practiceLocations": [
{
"address_1": "2210 Laurens Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296073224",
"country_code": "US",
"telephone_number": "864-288-8280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "AMY",
"middle_name": "HART",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.