AMANDA BLANCHE BENNETT PA-C
NPI 1376908657
Physician Assistant - Surgical in Conway, SC

Q: What is Amanda Bennett's NPI number?

The NPI number for Amanda Bennett is 1376908657. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Q: What is Amanda Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bennett was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 30, 2015PECOS EnrolledAccepts Medicare Assignment

8004 MYRTLE TRACE DR STE 200, CONWAY, SC 29526(843) 347-8041(843) 347-8042 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Jul 24, 2023, Mar 19, 2019 and 1 more (4 updates tracked since 2015).

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About Amanda Blanche Bennett Pa-c NPPES

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

AMANDA BLANCHE BENNETT PA-C (NPI 1376908657) is an individual surgical provider in Conway, South Carolina, licensed in South Carolina (5901) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376908657

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameAMANDA BLANCHE BENNETTCredential: PA-C

Location Address8004 MYRTLE TRACE DR STE 200Conway, SC 29526-8945

Mailing Address300 Singleton Ridge RdConway, SC 29526-9142

Phone(843) 347-8041

Fax(843) 347-8042

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 30, 2015

Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1376908657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in SC · 5901

8004 MYRTLE TRACE DR STE 200, Conway, SC 29526

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Secondary Practice Locations 2

Location 11100 62nd Ave NMyrtle Beach, SC 29572-7202 · Phone (843) 347-8041 · Fax (843) 347-8042

Location 26010 Highway 707 Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 347-8041 · Fax (843) 347-8042

Other Identifiers 1

Medicaid8123PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Blanche Bennett Pa-c 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 ID3971802414

PECOS Enrollment IDI20190416002788, I20250729000149

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 CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

162 services100 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

62 services62 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

43 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

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.

22 services22 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

JOHN PAUL STELMACH JR. MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)