Active NPI
Amy Ellen Jamison, M.D., M.B.A.
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
National Provider Identifier
1790919876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 51557
- Practice address
- 1690 Skylyn Dr Ste 300a
Spartanburg, SC 29307-1022 - Phone
- (864) 342-4000
- Fax
- (864) 596-7409
- NPI assigned
- May 5, 2009
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD445794 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 51557 | SC | Primary |
Addresses
Primary practice location
1690 Skylyn Dr Ste 300a
Spartanburg, SC 29307-1022
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other practice location 1
879 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-8367
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCC130 | Other | SC | MEDICARE PIN |
| 102715003 | Medicaid | PA | |
| SCC1305019 | Other | SC | MEDICARE PIN |
| 515570 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1790919876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 SKYLYN DR STE 300A",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071022",
"telephone_number": "864-342-4000",
"fax_number": "864-596-7409"
}
],
"practiceLocations": [
{
"address_1": "879 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Indiana",
"state": "PA",
"postal_code": "157013629",
"country_code": "US",
"telephone_number": "724-357-8367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMISON",
"first_name": "AMY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD445794",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "51557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCC130",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102715003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCC1305019",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "515570",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.