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

Amanda Lynn Whitehead, NP

Individual provider Primary Care Nurse Practitioner · NPI 1194565515

Amanda Lynn Whitehead, NP is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2024, 2 years ago. Practices with Providence Family Practice LLC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

233 Longtown Rd
Columbia, SC 29229-8550
Phone: (803) 865-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.29187 (SC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APN.29187 (SC)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence APN.29187 (SC)

Record details

NPI number1194565515
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 31, 2024
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Providence Family Practice Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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