Active NPI
Amanda H. Wright, PA
- Dermatology Physician
- Charleston, SC
National Provider Identifier
1922244086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1331
- Practice address
- 933 Saint Andrews Blvd.
Charleston, SC 29407 - Phone
- (843) 766-9868
- Fax
- (843) 571-4925
- NPI assigned
- Dec 19, 2008
- Last updated
- Jan 4, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1331 | SC | |
| Dermatology Physician | 207N00000X | 1331 | SC | Primary |
Addresses
Primary practice location
933 Saint Andrews Blvd.
Charleston, SC 29407
Mailing address
933 Saint Andrews Blvd.
Charleston, SC 29407
Phone (843) 766-9868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0748PA | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
933 Saint Andrews Blvd
Charleston, SC 29407-7138
Phone (843) 766-9868
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.67 of 100
- Quality
- 53.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1331 | SC | MD | Dermatology Physician |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Charleston, SC
- NPI 1639202294
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1922244086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 SAINT ANDREWS BLVD.",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29407",
"telephone_number": "843-766-9868",
"fax_number": "843-571-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 SAINT ANDREWS BLVD.",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29407",
"telephone_number": "843-766-9868",
"fax_number": "843-571-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "AMANDA",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "1331",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "1331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0748PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.