AMANDA LOUISE CLARK RN, BSN
NPI 1225666035
Nurse Practitioner - Pediatrics in Charleston, SC
About Amanda Louise Clark Rn, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA LOUISE CLARK RN, BSN (NPI 1225666035) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (26661) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Louise Clark Rn, Bsn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29407
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amanda Clark's NPI number?
The NPI number for Amanda Clark is 1225666035. It was assigned to this individual provider in the NPPES registry on March 28, 2020.
Where is Amanda Clark located?
Amanda Clark practices at 1871 Savage Rd, Charleston, SC 29407. The listed phone number is (843) 766-6308.
What is Amanda Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Amanda Clark enrolled in Medicare?
Yes. Amanda Clark is registered in the Medicare PECOS enrollment system.
What insurance does Amanda Clark accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Amanda Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amanda Clark was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amanda Louise Clark, RN, BSN · NPI 1225666035
Pediatrics physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since March 28, 2020.
## Identity
- **NPI:** 1225666035 (Entity type: Individual)
- **Enumerated:** March 28, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 26661 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1871 SAVAGE RD, Charleston, SC 29407-4726
- **Phone:** (843) 766-6308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225666035) · Data from the CMS NPPES public registry.