NPIMap

Individual provider Active NPI

Amanda May Powell, PA-C

  • Surgical Physician Assistant
  • Beaufort, SC
National Provider Identifier
1982224317
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
989 Ribaut Rd Ste 360
Beaufort, SC 29902-5427
Phone
(843) 524-8171
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

989 Ribaut Rd Ste 360
Beaufort, SC 29902-5427

Mailing address

989 Ribaut Rd Ste 360
Beaufort, SC 29902-5427
Phone (843) 524-8171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200720000429 SC Practitioner - Physician Assistant 1456775899 Reassigns benefits to 1 organization
I20230103000531 NJ Practitioner - Physician Assistant 1456775899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

19 Davis Ave
Neptune, NJ 07753-4488

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4504

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3581SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 10, 2023 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

19 Davis Ave
Fl 2
Neptune City, NJ 07753
Phone (732) 528-0760

3 Hospital Plz
Ste 206
Old Bridge, NJ 08857
Phone (732) 217-3897

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

989 Ribaut Rd
Ste 360
Beaufort, SC 29902
Phone (843) 522-5900

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1982224317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 RIBAUT RD STE 360",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025427",
            "telephone_number": "843-524-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RIBAUT RD STE 360",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025427",
            "telephone_number": "843-524-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "AMANDA",
        "middle_name": "MAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.