Amanda Bynum, LMFT
Individual provider Active NPI Marriage & Family Therapist · Sharpsburg, GA
NPI 1003405200 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1003405200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT001859 (GA)
- Practice address
- 50 Virginia Ave
Sharpsburg, GA 30277-6947 - Phone
- (706) 383-7275
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
3372 Peachtree Rd NE
Suite 115
Atlanta, GA 30326-1963
Phone (866) 630-0966
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213002460 | FL | Practitioner - Marriage and Family Therapist | 9234572694 | Reassigns benefits to 2 organizations |
| I20240301003603 | GA | Practitioner - Marriage and Family Therapist | 9234572694 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT000667 | GA | MD | Marriage & Family Therapist |
| MFT001859 | GA | MD | Marriage & Family Therapist |
Practice roles (5 of 18)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Support Services LLC | Current |
Accepting new patients | |
| Mental Health Specialty Group PA | Current |
Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
| Grow Healthcare Group PA | Marriage & Family Therapist | Current |
Accepting new patients |
| Sondermind Provider Network LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
Networks
- FL HMO
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO D-SNP
- TN PPO C-SNP
- TN PPO
- FL HMO C-SNP
- AL HMO
- FL PPO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
Interoperability endpoints
- amandabynum@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT000667 | GA | |
| Marriage & Family Therapist | 106H00000X | MFT001859 | GA | Yes |
Addresses
Primary practice location
50 Virginia Ave
Sharpsburg, GA 30277-6947
Mailing address
50 Virginia Ave
Sharpsburg, GA 30277-6947
Other practice location 1
2759 Mount Zion Pkwy Ste A
Jonesboro, GA 30236-2568
Phone (678) 545-6745
Other providers in Sharpsburg, GA
- Tyler Austin
- Bio-Medical Applications of Georgia, Inc.
- Elizabeth Brackett
- Kenyatta D. Brantley
- Suzetta Rogers Brazile
- Cardiovascular Consultants of Georgia, P.C.
- Lisa Marie Chaphe
- Charles L. McCord, M.D., LLC.
- Jeth Childers
- Shalini Chowdavarapu
All providers in Sharpsburg, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.