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AMANDA DANIELSON BRODIE PA
NPI 1619251519
Physician Assistant in Greenville, SC

Active since October 11, 2011PECOS Enrolled
9 HAWTHORNE PARK CT, GREENVILLE, SC 29615(864) 603-5600(864) 603-5601 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2018, Mar 13, 2017 (2 updates tracked since 2017).

About Amanda Danielson Brodie Pa NPPES

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

AMANDA DANIELSON BRODIE PA (NPI 1619251519) is an individual physician assistant in Greenville, South Carolina, licensed in South Carolina (1693) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619251519
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA DANIELSON BRODIECredential: PA
Location Address9 HAWTHORNE PARK CTGreenville, SC 29615
Mailing Address525 Verdae Blvd, Suite 200Greenville, SC 29607-4021 · (864) 603-5600 · Fax (864) 603-5601
Phone(864) 603-5600
Fax(864) 603-5601
Sole ProprietorNo
Enumeration DateOctober 11, 2011
Last NPPES UpdateJune 14, 20182 updates tracked since enumeration
✔ NPI 1619251519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 1693
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9 HAWTHORNE PARK CT, Greenville, SC 29615
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1201 N. Main StreetGreenville, SC 29601 · Phone (864) 603-5600 · Fax (864) 603-5601
Location 2312 HARRISON BRIDGE RDSIMPSONVILLE, SC 29680 · Phone (864) 603-5600 · Fax (864) 603-5601

Other Identifiers 1

Medicaid1274PASC

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 Danielson Brodie Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

LISA MARIE BAYCH M.D.
Family Medicine
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 603-5600
PIEDMONT GASTRONETEROLOGY PA
Internal Medicine (Gastroenterology)
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 286-1040
ELIZABETH CHANDLER MILER RACKLEY PA
Physician Assistant
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 603-5600
JOSEPH MCGOWIN MD
Internal Medicine (Gastroenterology)
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 286-1040
HALEY NOTTINGHAM KEITH PA-C
Physician Assistant
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 603-5600
TRIBE513, P.A.
Internal Medicine
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 603-5600
CARA RHODES BOSTROM M.D.
Family Medicine
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 603-5600
PAIGE MCCOWN ROSTIN FNP
Nurse Practitioner (Family)
9 HAWTHORNE PARK CT
GREENVILLE, SC 29615
Greenville County (864) 603-5600

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 Brodie's NPI number?

The NPI number for Amanda Brodie is 1619251519. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Amanda Brodie located?

Amanda Brodie practices at 9 Hawthorne Park Ct, Greenville, SC 29615. The listed phone number is (864) 603-5600.

What is Amanda Brodie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Brodie enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Brodie was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.