Individual provider Active NPI

Amanda Haymore Coble, FNP-BC

  • Family Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1649806936
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013007 Issued in NC
Practice address
16600 Birkdale Commons Pkwy Ste E
Huntersville, NC 28078-6181
Phone
(704) 562-0198
Fax
(704) 896-8780
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013007 NC Primary

Addresses

Primary practice location

16600 Birkdale Commons Pkwy Ste E
Huntersville, NC 28078-6181

Mailing address

16600 Birkdale Commons Pkwy Ste E
Huntersville, NC 28078-6181
Phone (704) 562-0198

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413001497 NC Practitioner - Nurse Practitioner 3173952264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

210 Turnersburg Hwy
Suite C
Statesville, NC 28625-2797
Phone (704) 924-4740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013007NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Dec 30, 2023 Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

210 Turnersburg Hwy
#C
Statesville, NC 28625
Phone (704) 924-4740

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1649806936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE COMMONS PKWY STE E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181",
            "telephone_number": "704-562-0198",
            "fax_number": "828-879-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE COMMONS PKWY STE E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181",
            "telephone_number": "704-562-0198",
            "fax_number": "704-896-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLE",
        "first_name": "AMANDA",
        "middle_name": "HAYMORE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.