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DR. AMELIA C FAIRFAX MD NPI 1629147848


NPI Information

NPI: 1629147848
Provider Name: DR. AMELIA C FAIRFAX, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC
ZIP 29414
Phone: (843) 766-1936
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DR. Amelia C Fairfax, MD is a family medicine in Charleston, SC with 30 years of experience. The provider is 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. DR. Amelia C Fairfax, MD NPI is 1629147848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC
ZIP 29414-702
Phone: (843) 766-1936
Fax: (843) 766-1206

The NPI 1629147848 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 11/6/2006 and was last updated on 10/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine22266SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1222666MEDICAIDSOUTH CAROLINA
27036MEDICARE PINSOUTH CAROLINA
3G21879MEDICARE UPINSOUTH CAROLINA
4SC6216A634MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.