NPIMap

Individual provider Active NPI

Amanda Louanne Mills Gann, APRN

  • Family Nurse Practitioner
  • Pineville, KY
National Provider Identifier
1003282450
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010059 Issued in KY
Practice address
121 W Virginia Ave
Pineville, KY 40977-1661
Phone
(606) 654-2412
Fax
(606) 654-2519
NPI assigned
Aug 19, 2015
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010059 KY Primary

Addresses

Primary practice location

121 W Virginia Ave
Pineville, KY 40977-1661

Mailing address

121 W Virginia Ave Ste 100
Pineville, KY 40977-1600
Phone (606) 654-2412

Other practice location 1

850 Riverview Ave
Pineville, KY 40977-1452
Phone (606) 337-3051

Other names 1

  • Ms. Amanda Louanne McGeorge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329002611 KY Practitioner - Nurse Practitioner 7618274051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pineville ER ServicesGroup PAC ID 1153743075, 2 clinicians

Practice addresses (Care Compare)

850 Riverview Ave
Pineville, KY 40977-1452
Phone (606) 654-2412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pineville Community Health Center Inc CurrentSince Nov 10, 2019 Accepting new patients
Pineville ER Services CurrentSince Apr 1, 2021 Accepting new patients
Pineville Nursing Home Management LLC PastSince May 4, 2025 Accepting new patients
Yalinie Medics LLC Past Accepting new patients

Locations

121 W Virginia Ave
Ste 100
Pineville, KY 40977
Phone (606) 337-3225

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

850 Riverview Ave
Ste 301
Pineville, KY 40977

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/pinev-bfeb1b6a

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1003282450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE STE 100",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771600",
            "telephone_number": "606-654-2412",
            "fax_number": "606-654-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771661",
            "telephone_number": "606-654-2412",
            "fax_number": "606-654-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Riverview Ave",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "KY",
            "postal_code": "409771452",
            "country_code": "US",
            "telephone_number": "606-337-3051",
            "fax_number": "606-654-2519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANN",
        "first_name": "AMANDA",
        "middle_name": "LOUANNE MILLS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MCGEORGE",
            "middle_name": "LOUANNE",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pineville, KY

Sources for this page

Verify at the official NPI Registry.