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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NPI Details

DR. Amelia C Fairfax, MD is a family medicine in Charleston, SC with 32 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Automated urinalysis test (HCPCS:81003)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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