NPIMap

Individual provider Active NPI

Amanda Lynn Crowley, ACNPC-BC

  • Acute Care Nurse Practitioner
  • Ladson, SC
National Provider Identifier
1679077036
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
21702 Issued in SC
Practice address
9565 Highway 78 BLDG 100
Ladson, SC 29456-4118
Phone
(843) 797-5050
Fax
(843) 797-3633
NPI assigned
Mar 21, 2018
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 21702 SC Primary

Addresses

Primary practice location

9565 Highway 78 BLDG 100
Ladson, SC 29456-4118

Mailing address

9565 Highway 78 BLDG 100
Ladson, SC 29456-4118
Phone (843) 797-5050

Other identifiers 1

IdentifierTypeStateIssuer
NP5243MedicaidSC

Other names 1

  • Amanda Lynn Spahn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709001014 SC Practitioner - Nurse Practitioner 4183970007 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcis Healthcare LLCGroup PAC ID 0042448748, 34 clinicians

Practice addresses (Care Compare)

2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians of SC, LLC CurrentSince Dec 1, 2025 Accepting new patients
Seaside Spine Specialists LLC CurrentSince Feb 23, 2022 Accepting new patients
South Carolina Group Services, LLC CurrentSince Apr 17, 2018 Accepting new patients
Arcis Healthcare, LLC CurrentSince Apr 1, 2025 Accepting new patients
Arcis Healthcare, LLC Acute Care CurrentSince Apr 1, 2025 Accepting new patients

Locations

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

9565 Highway 78
Bldg 100
Ladson, SC 29456
Phone (843) 553-7615

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

93 Springview Ln
Unit B
Summerville, SC 29485
Phone (843) 266-4883

Interoperability endpoints

  • Direct secure messaging: amanda.crowley.1@7388.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJIGCD

Organizations & group practices 5

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 10

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1679077036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "ACNPC-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "21702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5243",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SPAHN",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.