Amy Jeanette Bolyard, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.APRN26532 Issued in SC

Practice address

30 New Orleans Rd
Hilton Head Island, SC 29928-4715

Phone

(843) 842-9960

NPI assigned

Dec 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Old Mission Wound Care Georgia LLC

  • Specialist
  • Traverse City, MI
  • NPI 1841030343

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1831809565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEW ORLEANS RD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284715",
            "telephone_number": "843-842-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEW ORLEANS RD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284715",
            "telephone_number": "843-842-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLYARD",
        "first_name": "AMY",
        "middle_name": "JEANETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.APRN26532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Brooke Mildred Blackstone, OTR/L
• Joseph Robert Blanchard, D.C.
• Amanda Lisette Bloom
• Body-Oasis Wellness Care
• Chloe Bolen, DPT, PT
• Bonnie J Rothwell DMD PA
• Valerie Borders
• Kelly Arashin Bouthillet, APRN, ACNP-BC
• Haley Michelle Bowles, O.D.
• Stephanie Boyance

• Family Nurse Practitioner in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.