AMANDA MAYS LACK APRN
NPI 1124532528
Nurse Practitioner - Gerontology in Seneca, SC

Active since November 21, 2017PECOS EnrolledAccepts Medicare Assignment
366 MARKET ST, SENECA, SC 29678(864) 364-6380(833) 853-9422 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2026, Dec 14, 2021, Apr 21, 2020 and 1 more (4 updates tracked since 2017).

About Amanda Mays Lack Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MAYS LACK APRN (NPI 1124532528) is an individual gerontology provider in Seneca, South Carolina, licensed in South Carolina (23238) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124532528
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAMANDA MAYS LACKCredential: APRN
Location Address366 MARKET STSeneca, SC 29678-0926
Mailing Address366 Market StSeneca, SC 29678-0926 · (864) 364-6380 · Fax (833) 853-9422
Fax(833) 853-9422
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 21, 2017
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1124532528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in SC · 23238
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN162689 (GA)
366 MARKET ST, Seneca, SC 29678

Other Identifiers 2

MedicaidNP6410SC
OtherSCG565L064SC · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Mays Lack Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082973847
PECOS Enrollment IDI20200102002346
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 25 times for 13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 19 times for 19 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.79 for a new patient copayment and $23.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29678 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.18
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $20.79
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $23.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine
366 MARKET ST
SENECA, SC 29678
Internal Medicine
366 MARKET ST
SENECA, SC 29678
Nurse Practitioner (Family)
366 MARKET ST
SENECA, SC 29678
Nurse Practitioner (Family)
366 MARKET ST
SENECA, SC 29678
Nurse Practitioner (Family)
366 MARKET ST
SENECA, SC 29678
Nurse Practitioner (Family)
366 MARKET ST
SENECA, SC 29678

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124532528, enumerated as an "individual" on November 21, 2017.

The provider is located at 366 MARKET ST SENECA, SC 29678 and the phone number is (864) 364-6380.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.