AMANDA GERRALD


Address: 1608 Main St, Conway, SC 29526-3572
Phone: 8432484700

AMANDA GERRALD (NPI# 1144637166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144637166
Entity Type Individual
Full Name AMANDA GERRALD
Practice Address 1608 Main St
Conway
SC 29526-3572
Practice Telephone 8432484700
Mailing Telephone 8432484700
Enumeration Date 2014-07-22
Last Update Date 2016-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
18893 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP3725 05

Office Location

Street Address 1608 MAIN ST
City CONWAY
State SC
Zip Code 29526-3572

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073518528 Joseph Hamilton Odom Pharmacist 1608 Main St, Conway, SC 29526-3572 2005-06-20
1568083210 Kristen Mottey Social Worker 1608 Main St, Conway, SC 29526-3572 2020-05-05
1942832050 Stephanie Jayne Ball Social Worker 1608 Main St, Conway, SC 29526-3572 2020-02-06
1295229656 Kaitlin Elizabeth Hojnowski Social Worker 1608 Main St, Conway, SC 29526-3572 2018-06-19
1245742782 Linda Leeko Hudson Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2017-10-24
1306382304 Lindsey Brooke Jernigan Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2017-01-13
1518238591 Lina Abdelmajid Hajar Specialist 1608 Main St, 15c, Box No 87, Conway, SC 29526-3572 2012-01-23
1336423193 Health Care Partners of South Carolina, Inc. Clinical Medical Laboratory 1608 Main St, Conway, SC 29526-3572 2011-09-28
1609106392 Shalini Gates Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2010-01-03
1255561627 Jose J. Hernandez Family Medicine 1608 Main St, Conway, SC 29526-3572 2009-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558835355 Conway Hospital Inc Nurse Practitioner 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 2019-01-15
1104220433 Diana L Taylor Nurse Practitioner 140 Professional Park Drive, Conway, SC 29526 2014-10-15
1740713650 Linda Christine Post Nurse Practitioner 2505 College Ave, Conway, AR 72034 2017-04-07
1457678054 Jo E. Greenhill Nurse Practitioner 1500 Museum Rd, Conway, AR 72032 2010-04-23
1609106392 Shalini Gates Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2010-01-03
1578898748 Betsy Anna Efird Nurse Practitioner 2710 College Ave, Conway, AR 72034-6141 2009-10-06
1366775553 Karen Louise Martin Nurse Practitioner 2710 College Ave, Conway, AR 72034-6141 2009-09-07
1588800890 Amanda J Bruce Nurse Practitioner 124 Professional Park Dr, Ste A, Conway, SC 29526-9260 2008-12-17
1356419972 Sharyn Mae Flanagan-rogers Nurse Practitioner 298 White Mountain Hwy, Conway, NH 03818-4204 2006-12-01
1639255078 Thea S Collin Nurse Practitioner 907 Bell St, Conway, SC 29526-4113 2006-10-28
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Competitor

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City CONWAY
Zip Code 29526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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