Amanda S Battisti, DO
Individual provider Active NPI Emergency Medicine Physician · Conway, SC
NPI 1760415749 · NPPES record last updated Apr 30, 2008
Key facts
- NPI
- 1760415749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- TL993 (SC)
- Practice address
- 300 Singleton Ridge Rd
Conway, SC 29526-9142 - Phone
- (843) 347-8037
- Fax
- (843) 347-8056
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.55 of 100
- Quality
- 85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060801000381 | SC | Practitioner - Emergency Medicine |
4688668973 | Reassigns benefits to 2 organizations |
| I20241211003148 | NC | Practitioner - Emergency Medicine | 4688668973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL993 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Memorial Hospital | Current |
Accepting new patients | |
| Georgetown Memorial Hospital | Current |
Accepting new patients | |
| Waccamaw Community Hospital | Current |
Accepting new patients | |
| Brunswick Physician Partners, PLLC | Emergency Medicine | Current |
Accepting new patients |
| St. Vincent'S Midtown Hospital | Past | Accepting new patients | |
| Conway Hospital Emergency Professional Services | Emergency Medicine | Past |
Accepting new patients |
| Charleston Carenow Urgent Care, LLC | Past |
Accepting new patients | |
| Conway Hospital Long Term Care Services, Inc | Past | Accepting new patients | |
| Conway Hospital, Inc. | Past | Accepting new patients |
Locations
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
4070 Highway 17
Ste 10
Murrells Inlet, SC 29576
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TL993 | SC | Yes |
Addresses
Primary practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Mailing address
PO Box 829
Conway, SC 29528-0829
Phone (843) 347-8037
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009939 | Medicaid | SC |
Other providers in Conway, SC
- Meaghan Barros
- Lisa Bartholomew
- Jason Basham
- Shala Baskett
- Tajauna Lanelle Marie Batchelor
- Mary Baum
- Olivia Jayden Bauman
- Helen M Bayne
- Henna Bazai
- Beach Medical Specialists PA
All providers in Conway, SC · Emergency Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.