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

Pam Amanda Locke, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1144276569

Pam Amanda Locke, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Georgetown, South Carolina. Qualified in 2004, 22 years ago. Practices with Tidelands Anesthesia Group LLC, a 51-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
22
Licensed in
SC
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

606 Black River Rd
Georgetown, SC 29440-3304
Phone: (843) 240-8047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R72682 (SC)

Record details

NPI number1144276569
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Tidelands Anesthesia Group Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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