Amberlee Peace, PA
Individual provider Active NPI Physician Assistant · Greenville, SC
NPI 1962863464 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1962863464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 23019554 (NY)
- Practice address
- 220 N Main St Ste 500
Greenville, SC 29601-2129 - Phone
- (800) 275-3243
- NPI assigned
- Mar 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Che Senior Psychological Services, PC
Che Behavioral Health Services of South Carolina PC
Practice addresses (Care Compare)
135 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone (800) 275-3243
220 N Main St
Suite 500
Greenville, SC 29601-2129
Phone (800) 275-3243
250 Beach 17TH St
Far Rockaway, NY 11691-4420
Phone (800) 275-3243
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190215000679 | NY | Practitioner - Physician Assistant | 7911245014 | Reassigns benefits to 4 organizations |
| I20230823002519 | SC | Practitioner - Physician Assistant | 7911245014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4435 | SC | MD | Chiropractor |
| 23019554 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4435 | SC | |
| Physician Assistant | 363A00000X | 23019554 | NY | Yes |
Addresses
Primary practice location
220 N Main St Ste 500
Greenville, SC 29601-2129
Mailing address
168 Hollow Tree CT
Lugoff, SC 29078-8618
Phone (585) 735-6707
Other providers in Greenville, SC
- Julia Gillespie Payne
- Michael W Payne
- Peace & Harmony Counseling Services
- Peace at Home Home Care Services, LLC
- Peace Oasis LLC
- Peak 3 Sports Physical Therapy
- Peak Performance and Physical Therapy, LLC
- Harriett Jones Pearce
- Lisa Marie Pearce
- Amy Lynn Pearson
All providers in Greenville, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.