Amanda Mallory, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20586 Issued in SC

Practice address

1847 S Lake Dr
Lexington, SC 29073-7759

Phone

(803) 356-8998

NPI assigned

Nov 16, 2016

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Health Partners LLCGroup PAC ID 0840625984, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/HEJBAA

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.

• Tennessee Health Partners LLC

  • Nurse Practitioner
  • Franklin, TN
  • NPI 1326603911

  SC

  Medicare reassignment Care Compare group NPD
• CH Specialty Services SC LLC

  • Family Nurse Practitioner
  • North Charleston, SC
  • NPI 1275915522
  Medicare reassignment NPD
• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1689116055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 DAWSONS PARK WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290721906",
            "telephone_number": "038-240-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737759",
            "telephone_number": "803-356-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292104486",
            "country_code": "US",
            "telephone_number": "803-731-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kristine Magin-Leyendecker, MA, LPC
• Dennis Magno
• Seyedhossein Mahdavi
• Himaxi M Maisuria, MD
• Audrey Mallard
• Rowland Malloy
• Kellie A Malo
• Lakelyn Malovic
• Gianna Theresa Mancuso
• Carrie Manges, PTA

• Family Nurse Practitioner in Lexington, SC
• Providers in Lexington, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.

Verify at the official NPI Registry.