NPIMap

Individual provider Active NPI

Amanda S Battisti, DO

  • Emergency Medicine Physician
  • Conway, SC
National Provider Identifier
1760415749
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
TL993 Issued in SC
Practice address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone
(843) 347-8037
Fax
(843) 347-8056
NPI assigned
Jul 10, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TL993 SC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060801000381 SC Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Physical Medicine and Rehabilitation 4688668973 Reassigns benefits to 2 organizations
I20241211003148 NC Practitioner - Emergency Medicine 4688668973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TL993SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Georgetown Memorial Hospital CurrentSince Dec 19, 2019 Accepting new patients
Waccamaw Community Hospital CurrentSince Dec 19, 2019 Accepting new patients
Georgetown Memorial Hospital CurrentSince Dec 19, 2019 Accepting new patients
Charleston Carenow Urgent Care, LLC PastSince Sep 1, 2021 Accepting new patients
St. Vincent's Midtown Hospital Past Accepting new patients
Conway Hospital, Inc. Past Accepting new patients
Conway Hospital Emergency Professional Services Emergency Medicine PastSince Feb 4, 2024 Accepting new patients
Conway Hospital Long Term Care Services, 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1760415749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295280829",
            "telephone_number": "843-347-8037",
            "fax_number": "843-347-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-8037",
            "fax_number": "843-347-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTISTI",
        "first_name": "AMANDA",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "TL993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.