Amanda Lee Groome, AGNP-C | |
255 Enterprise Blvd, Suite 101, Greenville, SC 29615-6300 | |
(864) 454-8120 | |
(864) 454-8125 |
Full Name | Amanda Lee Groome |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 255 Enterprise Blvd, Greenville, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013217850 | NPI | - | NPPES |
NP3381 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 19644 (South Carolina) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 19644 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Itrust Wellness Group | 0648532028 | 22 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Ph Health Care Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427475292 PECOS PAC ID: 2163683012 Enrollment ID: O20140722002387 |
Entity Name | Itrust Wellness Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629517222 PECOS PAC ID: 0648532028 Enrollment ID: O20180322002663 |
Mailing Address | Practice Location Address |
---|---|
Amanda Lee Groome, AGNP-C 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6328 | Amanda Lee Groome, AGNP-C 255 Enterprise Blvd, Suite 101, Greenville, SC 29615-6300 Ph: (864) 454-8120 |
Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901 | |
Tracey Ann Hoxie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3807 White Horse Rd Ste Dande, Greenville, SC 29611 Phone: 864-236-5688 | |
Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350 | |
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000 | |
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280 | |
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125 | |
Rebecca Dawn Leicht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC 29609 Phone: 864-522-5000 Fax: 864-241-9275 |