AMANDA LEE GROOME AGNP-C NPI 1013217850

NPI Information

  • NPI: 1013217850
  • Provider Name: AMANDA LEE GROOME, AGNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 255 ENTERPRISE BLVD
    SUITE 101
    GREENVILLE, SC
    ZIP 29615
  • Phone: (864) 454-8120

Map and Directions

Get Directions

NPI Details

Amanda Lee Groome, AGNP-C is a primary care nurse practitioner in Greenville, SC with 10 years of experience. Amanda Lee Groome, AGNP-C NPI is 1013217850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 ENTERPRISE BLVD
SUITE 101
GREENVILLE, SC
ZIP 29615-300
Phone: (864) 454-8120
Fax: (864) 454-8125

The NPI 1013217850 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.

  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Psychotherapy with evaluation and management visit, 45 minutes (HCPCS:90836)
  • Psychiatric services complicated by communication factor (HCPCS:90785)

The enumeration date for this NPI number is 10/27/2010 and was last updated on 11/30/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology19644SOUTH CAROLINANo
2363LP2300XNurse PractitionerPrimary Care19644SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP3381MEDICAIDSOUTH 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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI