Individual provider Active NPI

Amanda Williams Horne, D.C.

  • Chiropractor
  • Waverly Hall, GA
National Provider Identifier
1013309491
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11448 Issued in FL
Practice address
16 Rolling Meadows Way
Waverly Hall, GA 31831-0015
Phone
(850) 240-2687
NPI assigned
Feb 23, 2015
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011280 GA
Chiropractor 111N00000X CH 11448 FL Primary

Addresses

Primary practice location

16 Rolling Meadows Way
Waverly Hall, GA 31831-0015

Mailing address

16 Rolling Meadows Way
Waverly Hall, GA 31831-0015
Phone (850) 240-2687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519000441 FL Practitioner - Chiropractic 4183944960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11448FLMDChiropractor
CHIR011280GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Emerald Chiropractic Co LLC Chiropractor CurrentSince Sep 15, 2024 Accepting new patients

Locations

9200 Navarre Pkwy
#E
Navarre, FL 32566
Phone (850) 936-8664

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1013309491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROLLING MEADOWS WAY",
            "city": "WAVERLY HALL",
            "state": "GA",
            "postal_code": "318310015",
            "telephone_number": "850-240-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ROLLING MEADOWS WAY",
            "city": "WAVERLY HALL",
            "state": "GA",
            "postal_code": "318310015",
            "telephone_number": "850-240-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "AMANDA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011280",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly Hall, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.