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

Amanda Mays Lack, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1124532528

Amanda Mays Lack, APRN is a Nurse Practitioner in Seneca, South Carolina. Qualified in 2017, 9 years ago. Practices with Centerwell Senior Primary Care SC PC, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and South Carolina.

Years since qualifying
9
Licensed in
GA, SC
In the registry since
2017
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

366 Market St
Seneca, SC 29678-0926
Phone: (864) 364-6380
Fax: (833) 853-9422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 23238 (SC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN162689 (GA)

Record details

NPI number1124532528
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 21, 2017
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centerwell Senior Primary Care Sc Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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