AMBER D WILLIS MD
NPI 1649443607
Family Medicine in Summerville, SC

Active since April 10, 2008PECOS EnrolledAccepts Medicare Assignment
1114 N MAIN ST, SUMMERVILLE, SC 29483(843) 212-8070(843) 212-8071 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amber D Willis Md NPPES

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

AMBER D WILLIS MD (NPI 1649443607) is an individual family medicine provider in Summerville, South Carolina, licensed in South Carolina (40153) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Mcleod Health Clarendon, and is a graduate of Baylor College Of Medicine (2006).

NPPES Registry Identity

NPI1649443607
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBER D WILLISCredential: MD
Location Address1114 N MAIN STSummerville, SC 29483-7326
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Fax(843) 212-8071
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2006
Enumeration DateApril 10, 2008
Last NPPES UpdateJanuary 23, 2017
NPI 1649443607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 40153
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ML002812 (PA)
1114 N MAIN ST, Summerville, SC 29483

Other Names 1

Former Name (1)Amber W Hallmark Md

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

Amber D Willis Md 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 ID9537247010
PECOS Enrollment IDI20170228001721
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
166 services158 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
111 services104 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420109
Location10 East Hospital StreetManning, SC 29102 · Clarendon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29483 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
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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 14

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

Family Medicine
1114 N MAIN ST
SUMMERVILLE, SC 29483
Family Medicine
1114 N MAIN ST
SUMMERVILLE, SC 29483
Family Medicine
1114 N MAIN ST
SUMMERVILLE, SC 29483
Physician Assistant
1114 N MAIN ST
SUMMERVILLE, SC 29483
Physician Assistant (Medical)
1114 N MAIN ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
1114 N MAIN ST
SUMMERVILLE, SC 29483
Physician Assistant
1114 N MAIN ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
1114 N MAIN ST
SUMMERVILLE, SC 29483

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 Amber Willis's NPI number?

The NPI number for Amber Willis is 1649443607. It was assigned to this individual provider in the NPPES registry on April 10, 2008. The provider is also known as Amber W Hallmark MD.

Where is Amber Willis located?

Amber Willis practices at 1114 N Main St, Summerville, SC 29483. The listed phone number is (843) 212-8070.

What is Amber Willis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amber Willis enrolled in Medicare?

Yes. Amber Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amber Willis affiliated with any hospitals?

According to CMS data, Amber Willis is affiliated with Mcleod Health Clarendon.

When was this NPI record last updated?

The NPPES record for Amber Willis was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.