Amy McKissick, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3057 Issued in SC

Practice address

1122 Lady St
Columbia, SC 29201-3218

Phone

(803) 240-2847

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Providence Medical LLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1871312918
  NPD Authorized official

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1861469488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUMMERVILLE AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011927",
            "telephone_number": "803-240-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 LADY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013218",
            "telephone_number": "803-240-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSICK",
        "first_name": "AMY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Don McKinney Jr., M.D.
• Margaret A McKinney
• Marnette Perdergrass McKinney, M.A. CCC SLP
• Selina R. Hunt McKinney
• Thornton Sterling McKinney Jr., M.D.
• Breanna McKnight, RBT
• Karolyn McKnight, PT
• Kierra McKnight, RBT
• Maniya McKnight
• William Campbell McLain III, MD

• Family Nurse Practitioner in Columbia, SC
• Providers in Columbia, 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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.