AMANDA NICHOLS (NPI# 1750687091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750687091 |
| Entity Type | Individual |
| Full Name | AMANDA NICHOLS |
| Credential | PA-C |
| Practice Address |
295 Midland Pkwy Summerville SC 29485-8104 |
| Practice Telephone | 8438325160 |
| Mailing Telephone | 8438325160 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1592 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659886141 | Amanda Lee Nichols | Massage Therapist | 3703 Taylorsville Rd Ste 213, Louisville, KY 40220-1331 | 2017-12-06 |
| 1528341534 | Amanda Elizabeth Nichols | Pharmacist | 1706 Crepe Myrtle Dr, Jonesboro, AR 72401-7829 | 2011-09-26 |
| 1205139797 | Amanda Jean Nichols | Licensed Practical Nurse | 1958 Co Rd 1035, Ashland, OH 44805 | 2010-12-06 |
| 1831428572 | Amanda Rae Nichols | Doula | 635 Se 41st Ave, Apt 46, Portland, OR 97214-3267 | 2009-12-08 |
| 1518586122 | Amanda Nichols | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2020-04-14 |
| 1740832948 | Amanda Nichols | Speech-Language Pathologist | 313 S 5th St, Odessa, DE 19730-2078 | 2019-07-09 |
| 1821655127 | Amanda Nichols | Speech-Language Pathologist | 315 6th St S, Oneonta, AL 35121-1828 | 2019-05-22 |
| 1366928624 | Amanda Nichols | Chiropractor | 2377 Cumberland Square Dr, Bettendorf, IA 52722-3251 | 2018-07-19 |
| 1689109639 | Amanda Donn Nichols | Physical Therapy Assistant | 361 Windburn Ln, Grayson, KY 41143-8372 | 2017-04-27 |
| 1477915304 | Amanda Nichols | Counselor | 1209 Independence Blvd Ste 105, Virginia Beach, VA 23455-5569 | 2016-03-21 |
| Street Address |
295 MIDLAND PKWY |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134137623 | Stephen J O' Connor | Emergency Medicine | 295 Midland Pkwy, Summerville, SC 29483 | 2006-08-03 |
| 1174008841 | Deidra Dare Huckabee | Nurse Practitioner | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2018-09-28 |
| 1316426448 | Wesley Oneal Smith | Registered Nurse | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2018-08-09 |
| 1053862789 | Emily Anne Miller | Physician Assistant | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2016-10-18 |
| 1801205760 | Klondike Peak Inpatient Services LLC | Internal Medicine | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2014-08-05 |
| 1023364734 | Sheridan Children's Healthcare Services of South Carolina, P.a. | Pediatrics | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2012-07-31 |
| 1629342050 | Michael Hopkins Md PC | Emergency Medicine | 295 Midland Pkwy, Summerville Medical Center Emergency Department, Summerville, SC 29485-8104 | 2012-03-02 |
| 1184941551 | Richard Miles Thompson | Emergency Medicine | 295 Midland Pkwy, Summerville Medical Center Emergency Room, Summerville, SC 29485-8104 | 2010-04-26 |
| 1396061313 | Christian Raymond Kegg | Pediatrics | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2010-04-15 |
| 1861652760 | Adam Daniel Barouh | Pediatrics | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396805529 | Kristin Sue Anderson-taylor | Physician Assistant | 411 Orchard Hill Rd, Summerville, GA 30747-6548 | 2006-12-11 |
| 1497707061 | Rosamond B Bentz | Physician Assistant | 9995 Miles Jamison Road, Summerville, SC 29485-8403 | 2006-05-16 |
| 1962946137 | Hayley Plant Bryan | Physician Assistant | 328 Midland Pkwy, Summerville, SC 29485-8102 | 2016-12-07 |
| 1053862789 | Emily Anne Miller | Physician Assistant | 295 Midland Pkwy, Summerville, SC 29485-8104 | 2016-10-18 |
| 1487030052 | Molly Butler | Physician Assistant | 299 Midland Pkwy, Summerville, SC 29485-8104 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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| 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.