Individual provider Active NPI

Amy Willis Pitts, FNP

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1033761036
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN164968 Issued in GA
Practice address
4445 S Lee St Ste 105
Buford, GA 30518-8806
Phone
(770) 848-9240
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN164968 GA Primary

Addresses

Primary practice location

4445 S Lee St Ste 105
Buford, GA 30518-8806

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1931 Jesse Jewell Pkwy SE
Gainesville, GA 30501-2519
Phone (470) 252-3191

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190820000103 GA Practitioner - Nurse Practitioner 1658609367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Physicians Group Urgent Care LLCGroup PAC ID 3274535687, 62 clinicians

Practice addresses (Care Compare)

3931 Mundy Mill Rd a
Oakwood, GA 30566-3431
Phone (770) 503-1481

73 Maxwell LN
Dahlonega, GA 30533-7146
Phone (770) 219-9630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN164968GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Aug 7, 2019 Accepting new patients
Northeast Georgia Physicians Group Urgent Care LLC CurrentSince Jun 9, 2023 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Aug 29, 2025 Accepting new patients

Locations

1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195

4445 S Lee St
Ste 105
Buford, GA 30518
Phone (770) 848-9240

73 Maxwell Ln
Dahlonega, GA 30533
Phone (706) 344-6953

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1931 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (470) 252-3185

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

3931 Mundy Mill Rd
Ste A
Oakwood, GA 30566
Phone (770) 503-1481

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1033761036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S LEE ST STE 105",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188806",
            "telephone_number": "770-848-9240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012519",
            "country_code": "US",
            "telephone_number": "470-252-3191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTS",
        "first_name": "AMY",
        "middle_name": "WILLIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN164968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.