Active NPI
Amanda Pfannenstiel Mull, M.S., CCC-SLP
- Speech-Language Pathologist
- Fayetteville, GA
National Provider Identifier
1003720863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP010350
- Practice address
- 500 Lanier Ave W Ste 603
Fayetteville, GA 30214-7644 - Phone
- (678) 884-5085
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP010350 | GA | Primary |
Addresses
Primary practice location
500 Lanier Ave W Ste 603
Fayetteville, GA 30214-7644
Mailing address
614 Grecken GRN
Peachtree Cty, GA 30269-2728
Phone (770) 362-8479
Other practice location 1
101 Devant St Ste 703
Fayetteville, GA 30214-2717
Phone (770) 776-6013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1003720863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 GRECKEN GRN",
"city": "PEACHTREE CTY",
"state": "GA",
"postal_code": "302692728",
"telephone_number": "770-362-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LANIER AVE W STE 603",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147644",
"telephone_number": "678-884-5085"
}
],
"practiceLocations": [
{
"address_1": "101 Devant St Ste 703",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302142717",
"country_code": "US",
"telephone_number": "770-776-6013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULL",
"first_name": "AMANDA",
"middle_name": "PFANNENSTIEL",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP010350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.