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AMANDA JACQUELYN DIDOLKAR MD
NPI 1699937862
Pediatrics in Myrtle Beach, SC

Active since June 30, 2008PECOS Enrolled
4022 POSTAL WAY STE C, MYRTLE BEACH, SC 29579(843) 903-4111(843) 903-4242 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Apr 20, 2022, Mar 4, 2019 and 1 more (4 updates tracked since 2017).

About Amanda Jacquelyn Didolkar Md NPPES

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

AMANDA JACQUELYN DIDOLKAR MD (NPI 1699937862) is an individual pediatrics provider in Myrtle Beach, South Carolina, licensed in South Carolina (84825) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699937862
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA JACQUELYN DIDOLKARCredential: MD
Location Address4022 POSTAL WAY STE CMyrtle Beach, SC 29579-3537
Mailing Address300 Singleton Ridge Rd, Attention Patient AccountingConway, SC 29526-9142 · (843) 234-6946
Phone(843) 903-4111
Fax(843) 903-4242
Sole ProprietorNo
Enumeration DateJune 30, 2008
Last NPPES UpdateApril 11, 20244 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1699937862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 84825
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4022 POSTAL WAY STE C, Myrtle Beach, SC 29579
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Other Names 1

Former Name (1)Amanda Jacquelyn Doherty

Secondary Practice Locations 3

Location 15010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579 · Phone (843) 236-2700 · Fax (843) 236-2726
Location 2124 Professional Park Dr, Ste AConway, SC 29526-9260 · Phone (843) 234-8788 · Fax (843) 234-8787
Location 36010 Highway 707, Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 293-1005 · Fax (843) 293-1006

Other Identifiers 2

Medicaid848257SC
MedicaidQ027544TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 Jacquelyn Didolkar Md 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 29579 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 4

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

DR. PENELOPE ANNE CAMPBELL MD
Pediatrics
4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579
Horry County (843) 903-4111
STEPHEN REPLENSKI D.O.
Pediatrics
4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579
Horry County (843) 903-4111
STEPHANIE C. COBB DO
Pediatrics
4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579
Horry County (843) 903-4111
KAREN LEANNE FARRIS FNP-BC
Nurse Practitioner (Family)
4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579
Horry County (843) 903-4111

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 Didolkar's NPI number?

The NPI number for Amanda Didolkar is 1699937862. It was assigned to this individual provider in the NPPES registry on June 30, 2008. The provider is also known as Amanda Jacquelyn Doherty.

Where is Amanda Didolkar located?

Amanda Didolkar practices at 4022 Postal Way Ste C, Myrtle Beach, SC 29579. The listed phone number is (843) 903-4111.

What is Amanda Didolkar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Didolkar enrolled in Medicare?

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

What insurance does Amanda Didolkar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, CareSource and First Choice Next and 1 other insurer list Amanda Didolkar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Didolkar was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.