Active NPI
Amanda C. Ferguson, MD
- Pediatric Critical Care Medicine Physician
- Lemoyne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 2014-01802
- Practice address
- 3 Walnut St Ste 205
Lemoyne, PA 17043-1168 - Phone
- (717) 988-0090
- NPI assigned
- Aug 9, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2014-01802 | NC | |
| Pediatric Cardiology Physician | 2080P0202X | 2014-01802 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD482968 | PA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2014-01802 | NC | Primary |
Addresses
Primary practice location
3 Walnut St Ste 205
Lemoyne, PA 17043-1168
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1001 Blythe Blvd
Ste 500
Charlotte, NC 28203-5866
Phone (704) 373-1813
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aferguson536294@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | aferguson259282@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD482968 | PA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Pediatrics | Current | Accepting new patients |
| Pinnacle Health Medical Services | Pediatrics | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Carolinas Physicians Network Inc. | Pediatric Cardiology | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Upmc Pinnacle Hospitals | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1001 Blythe Blvd
Ste 200D
Charlotte, NC 28203
Phone (704) 373-1813
1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
3 Walnut St
Ste 205
Lemoyne, PA 17043
Phone (717) 909-0520
Interoperability endpoints
- aferguson536294@carolinashealthcaresystem.direct-ci.com
- aferguson287112@upmc.direct-ci.com
Organizations & group practices 7
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.
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Children's Neonatal Developmental Follow-Up Clinic
- Neonatal-Perinatal Medicine Physician
- Harrisburg, PA
- NPI 1700588191
Pediatrics
-
dba Atrium Health Imaging - Kenilworth
- Vascular Surgery Physician
- Charlotte, NC
- NPI 1881624807
Pediatric Cardiology
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1801806872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WALNUT ST STE 205",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431168",
"telephone_number": "717-988-0090"
}
],
"practiceLocations": [
{
"address_1": "1001 Blythe Blvd",
"address_2": "Ste 500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-373-1813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "AMANDA",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2014-01802",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NC",
"license": "2014-01802",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PA",
"license": "MD482968",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "2014-01802",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aferguson536294@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1001 Blythe Blvd",
"address_2": "Ste 500",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282035866",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aferguson259282@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "3 Walnut St Ste 205",
"city": "Lemoyne",
"state": "PA",
"country_code": "US",
"postal_code": "170431168",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lemoyne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.