Individual provider Active NPI

Amber S Moses

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1700549334
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25221 Issued in SC
Practice address
3710 Landmark Dr Ste 408
Columbia, SC 29204-4034
Phone
(803) 799-1922
Fax
(803) 779-6729
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 25221 SC Primary

Addresses

Primary practice location

3710 Landmark Dr Ste 408
Columbia, SC 29204-4034

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (813) 695-6071

Other practice location 1

3020 Sunset Blvd Ste 101
West Columbia, SC 29169-3494
Phone (803) 791-5680

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000179 SC Practitioner - Nurse Practitioner 7315338985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Cincinnati College of Medicine and Surgery, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

3388 Yampa St
Sumter, SC 29150-2045
Phone (800) 809-1265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25221SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 15, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 15, 2021 Accepting new patients
Palmetto Infusion Services LLC CurrentSince Sep 30, 2024 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

122 Highland Center Dr
Ste W
Columbia, SC 29203

3710 Landmark Dr
Ste 408
Columbia, SC 29204
Phone (803) 219-4686

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

3388 Yampa St
Sumter, SC 29150

3020 Sunset Blvd
Ste 101
West Columbia, SC 29169
Phone (803) 791-5680

3105 Sunset Blvd
West Columbia, SC 29169
Phone (843) 314-2060

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1700549334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "813-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 LANDMARK DR STE 408",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044034",
            "telephone_number": "803-799-1922",
            "fax_number": "803-779-6729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Sunset Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693494",
            "country_code": "US",
            "telephone_number": "803-791-5680",
            "fax_number": "803-791-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "AMBER",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.