Individual provider Active NPI

Amanda Pfannenstiel Mull, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fayetteville, GA
National Provider Identifier
1003720863
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010350 Issued in GA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.