AMANDA COPELAND NP NPI 1417490640

NPI Information

  • NPI: 1417490640
  • Provider Name: AMANDA COPELAND, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 FARROW PKWY UNIT B6
    MYRTLE BEACH, SC
    ZIP 29577
  • Phone: (843) 546-3410

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NPI Details

Amanda Copeland, NP is a gerontology nurse practitioner in Myrtle Beach, SC with 10 years of experience. Amanda Copeland, NP NPI is 1417490640. 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:

1600 FARROW PKWY UNIT B6
MYRTLE BEACH, SC
ZIP 29577-011
Phone: (843) 546-3410
Fax: (843) 839-3422

The NPI 1417490640 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.

  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Extended office or other outpatient service, first hour (HCPCS:99354)
  • New patient home visit, typically 75 minutes (HCPCS:99345)

The enumeration date for this NPI number is 11/20/2016 and was last updated on 12/27/2023.

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 PractitionerGerontology20588SOUTH CAROLINAYes

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: 11/21/2025

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