1. Home
  2. Directory
  3. South Carolina
  4. Blythewood
  5. Clinic Center
  6. NPI Profile

AMETHYST HEALTH, LLC
NPI 1407475676
Clinic/Center - Primary Care in Blythewood, SC

Active since April 08, 2020
1175 GREY PINE DR, BLYTHEWOOD, SC 29016(717) 880-3740 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amethyst Health, Llc NPPES

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

AMETHYST HEALTH, LLC (NPI 1407475676) is a healthcare organization registered as a primary care in Blythewood, South Carolina and active in the NPI registry since April 2020. The organization lists Wachovia Chanta' Banks, Family Medicine Physician, as its authorized official.

NPPES Registry Identity

NPI1407475676
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAMETHYST HEALTH, LLC
Location Address1175 GREY PINE DRBlythewood, SC 29016-7320
Mailing Address1175 Grey Pine DrBlythewood, SC 29016-7320 · (717) 880-3740
Phone(717) 880-3740
Organization SubpartNo
Authorized OfficialWachovia Chanta' BanksFamily Medicine Physician · (717) 880-3740
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1407475676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1175 GREY PINE DR, Blythewood, SC 29016
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. WACHOVIA CHANTA' BANKS D.O.
Family Medicine
1175 GREY PINE DR
BLYTHEWOOD, SC 29016
Richland County (803) 995-5599

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 Amethyst Health, LLC's NPI number?

The NPI number for Amethyst Health, LLC is 1407475676. It was assigned to this organization in the NPPES registry on April 8, 2020.

Where is Amethyst Health, LLC located?

Amethyst Health, LLC is located at 1175 Grey Pine Dr, Blythewood, SC 29016. The listed phone number is (717) 880-3740.

What is Amethyst Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Amethyst Health, LLC was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.