Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Lee Groome, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1013217850

Amanda Lee Groome, AGNP-C is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2015, 11 years ago. Practices with Itrust Wellness Group, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

255 Enterprise Blvd Ste 101
Greenville, SC 29615-6300
Phone: (864) 454-8120
Fax: (864) 454-8125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 19644 (SC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 19644 (SC)

Record details

NPI number1013217850
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedOctober 27, 2010
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Itrust Wellness Group — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenville