Amanda Mifflin, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN-NP176767 Issued in GA

Practice address

2480 Windy Hill Rd SE Ste 405
Marietta, GA 30067-8658

Phone

(478) 200-8815

NPI assigned

Oct 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Surgical Associates, PCGroup PAC ID 6709862212, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Vascular Surgical Associates, PC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1114083532
  Medicare reassignment Care Compare group NPD
• Vascular Surgical Associates, PC

  • Prosthetic/Orthotic Supplier
  • Austell, GA
  • NPI 1265921183
  NPD

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1023770716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678658",
            "telephone_number": "478-200-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Whitcher St NE Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601179",
            "country_code": "US",
            "telephone_number": "770-423-0595",
            "fax_number": "678-391-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIFFLIN",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "APRN-NP176767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Nicole Middleton, ACNPC-AG
• Holly Keahey Middleton, PH.D.
• Isabella Middleton, L.AC
• Ratasha Middleton
• William Middleton, DC
• Karrah Shelby Milcheck, PHARMD
• Nicholas Mildenhall, MD
• Miles of Therapy, LLC
• Kenya Chantel Miles, M.D.
• Monet Miles, RBT

• Adult Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.