Active NPI
Amelia Baxley Abercrombie, DMD
- Dentist
- Sumter, SC
National Provider Identifier
1730602202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9847
- Practice address
- 669 W Mark Blvd
Sumter, SC 29150-1900 - Phone
- (803) 905-3567
- NPI assigned
- Jul 17, 2017
- Last updated
- Jun 25, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9847 | SC | Primary |
| Dentist | 122300000X | 10788 | NC |
Addresses
Primary practice location
669 W Mark Blvd
Sumter, SC 29150-1900
Mailing address
752 Mattison Ave
Sumter, SC 29150-3108
Phone (803) 528-9092
Other practice location 1
230 Lowes Blvd
Lexington, NC 27292-5489
Phone (336) 243-8670
Other names 1
- Amelia Sikes Baxley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10788 | NC | MD | Pharmacist |
| 9847 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beatriz R. Aguero, DDS & Associates IV, PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DentalWorks
- General Practice Dentistry
- Leexington, NC
- NPI 1225229214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1730602202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 MATTISON AVE",
"city": "SUMTER",
"state": "SC",
"postal_code": "291503108",
"telephone_number": "803-528-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 W MARK BLVD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501900",
"telephone_number": "803-905-3567"
}
],
"practiceLocations": [
{
"address_1": "230 Lowes Blvd",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "NC",
"postal_code": "272925489",
"country_code": "US",
"telephone_number": "336-243-8670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABERCROMBIE",
"first_name": "AMELIA",
"middle_name": "BAXLEY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9847",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10788",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMELIA",
"last_name": "BAXLEY",
"middle_name": "SIKES",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.