Individual provider Active NPI

Amy E. Rush, PNP

  • Pediatric Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1881022234
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
18479 Issued in SC
Practice address
2430 Reidville Rd
Spartanburg, SC 29301-3652
Phone
(864) 272-0388
Fax
(678) 688-1594
NPI assigned
Oct 23, 2013
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 18479 SC Primary

Addresses

Primary practice location

2430 Reidville Rd
Spartanburg, SC 29301-3652

Mailing address

PO Box 936934
Atlanta, GA 31193-6934

Other names 1

  • Amy Elizabeth Marialke Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20140107000013 SC Practitioner - Nurse Practitioner 9133357791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Oct 14, 2024 Accepting new patients
Musc Affiliate Physicians CurrentSince Oct 14, 2024 Accepting new patients
Coker Pediatrics LLC Current Accepting new patients
University Medical Associates Past Accepting new patients

Locations

14557 Highway 19
Griffin, GA 30224
Phone (678) 688-1580

525 Verdae Blvd
#100
Greenville, SC 29607
Phone (864) 516-2800

9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

1220 Parkside Acorn Dr
Inman, SC 29349
Phone (864) 516-1783

30 Halter Dr
Powdersville, SC 29673

2 Hatcher Creek St
Simpsonville, SC 29680

211 Batesville Rd
Simpsonville, SC 29681

559 Harrison Bridge Rd
Simpsonville, SC 29680

2430 Reidville Rd
Spartanburg, SC 29301
Phone (864) 516-1783

2430 Reidville Rd
Ste 102
Spartanburg, SC 29301

Interoperability endpoints

  • Direct secure messaging: amy.rush@cokerpediatrics.gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBDAA

Organizations & group practices 4

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1881022234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936934",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013652",
            "telephone_number": "864-272-0388",
            "fax_number": "678-688-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "AMY",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "18479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2430 Reidville Rd",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293013652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MARIALKE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.