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AMANDA H PHAM DO
NPI 1255182556
Student in an Organized Health Care Education/Training Program in Greenville, SC

Active since March 27, 2024PECOS Enrolled
876 W FARIS RD, GREENVILLE, SC 29605(864) 455-5648 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda H Pham Do NPPES

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

AMANDA H PHAM DO (NPI 1255182556) is an individual student in an organized health care education/training program in Greenville, South Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255182556
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA H PHAMCredential: DO
Location Address876 W FARIS RDGreenville, SC 29605-4253
Mailing Address876 W Faris RdGreenville, SC 29605-4253
Phone(864) 455-5648
Sole ProprietorYes
Enumeration DateMarch 27, 2024
Last NPPES UpdateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1255182556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
876 W FARIS RD, Greenville, SC 29605
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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 H Pham Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILARY LAUREN KNIPPERS DO
Internal Medicine
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-5648
DANTE TERRACCIANO MD
Emergency Medicine
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-5648
KATELYN E DRULARD LMSW
Social Worker
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (704) 575-8529
CHRISTOPHER CACCIATORE DO
Emergency Medicine
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-5648
EMILY CLEVELAND DO, MPH
Emergency Medicine
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-5648
BONNIE SUE KENNEDY MD
Internal Medicine
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-5648
MEGHAN FILSON DO
Emergency Medicine (Emergency Medical Services)
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-5648
JACKSON DEREK HARTLEY M.D.
Internal Medicine
876 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 455-5648

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 Pham's NPI number?

The NPI number for Amanda Pham is 1255182556. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Amanda Pham located?

Amanda Pham practices at 876 W Faris Rd, Greenville, SC 29605. The listed phone number is (864) 455-5648.

What is Amanda Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Pham enrolled in Medicare?

Yes. Amanda Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Pham was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.