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

Mrs. Amanda Kornegay Marullo, NP-C

Individual provider Family Nurse Practitioner · NPI 1548548167

Mrs. Amanda Kornegay Marullo, NP-C is a Nurse Practitioner in Simpsonville, South Carolina. Qualified in 2011, 15 years ago. Practices with South Carolina Cancer Specialist, PA, a 10-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
15
Licensed in
SC
In the registry since
2011
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2580 Woodruff Rd
Simpsonville, SC 29681-5447
Phone: (864) 627-7228
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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 17550 (SC)

Record details

NPI number1548548167
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 31, 2011
Last updated in NPPESJuly 31, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice South Carolina Cancer Specialist, P.A. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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