AMBER D WILLIS MD
NPI 1649443607
Family Medicine in Summerville, SC
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
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Amber Willis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manning, SC 29102
- Reassigned Medicare billing, South Carolina enrollment
- 215 clinicians in this Medicare group
Florence, SC 29506
- Reassigned Medicare billing, South Carolina enrollment
- 56 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, SCPhysician 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.
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.
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.
Which organizations bill Medicare for Amber Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amber Willis reassigns Medicare benefits to 3 organizations: Mcleod Health Clarendon (Manning, SC), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Amber D Willis, MD · NPI 1649443607
Family Medicine physician in Summerville, South Carolina. Individual provider, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1649443607 (Entity type: Individual)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 40153 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1114 N MAIN ST, Summerville, SC 29483-7326
- **Phone:** (843) 212-8070 · **Fax:** (843) 212-8071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mcleod Health Clarendon (NPI 1508218793, Manning, SC); Mcleod Regional Medical Center Of The Pee Dee, Inc (NPI 1427004738, Florence, SC); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** January 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1649443607) · Data from the CMS NPPES public registry.