Active NPI
Amanda D. Vuppala, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Conway, SC
National Provider Identifier
1730379595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 33517
- Practice address
- 394 Singleton Ridge Rd
Conway, SC 29526-9150 - Phone
- (843) 347-8050
- Fax
- (843) 347-8049
- NPI assigned
- Jul 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD.201465 | LA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 33517 | SC | Primary |
Addresses
Primary practice location
394 Singleton Ridge Rd
Conway, SC 29526-9150
Mailing address
300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335177 | Medicaid | SC | |
| 07236265 | Medicaid | MS | |
| 1067172 | Medicaid | LA |
Other names 1
- Amanda M Davis
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201465 | LA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Medicos, P.a. | Past | Accepting new patients |
Locations
394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Vascular Surgery Physician
- Conway, SC
- NPI 1134910763
-
- Internal Medicine Physician
- North Myrtle Beach, SC
- NPI 1548024540
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1730379595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"address_2": "ATTN CREDENTIALING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269150",
"telephone_number": "843-347-8050",
"fax_number": "843-347-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUPPALA",
"first_name": "AMANDA",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "LA",
"license": "MD.201465",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "SC",
"license": "33517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335177",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07236265",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1067172",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "DAVIS",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.