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

Dr. Amelia C Fairfax, MD

Individual provider Family Medicine Physician · NPI 1629147848

Dr. Amelia C Fairfax, MD is a Family Practice in Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1994, 32 years ago. Practices with Tidewater Doctors LLC, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
32
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2270 Ashley Crossing Dr Ste 150
Charleston, SC 29414-5702
Phone: (843) 766-1936
Fax: (843) 766-1206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22266 (SC)

Record details

NPI number1629147848
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESOctober 10, 2017

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Tidewater Doctors Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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