Amanda Ellenberg

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN298574 Issued in GA

Practice address

654 County Farm Rd
Dublin, GA 31021-1799

Phone

(478) 272-2051

NPI assigned

Jul 9, 2026

Last updated

Jul 9, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Laurens County Board of Health

  dba Laurens County Health Department

  • Public Health or Welfare Agency
  • Dublin, GA
  • NPI 1689740045
  NPD (past)
• Laurens County Board of Health

  dba Ryan White Clinic

  • Public Health or Welfare Agency
  • Dublin, GA
  • NPI 1841505641
  NPD (past)

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1043138613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BEAVER RUN DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213863",
            "telephone_number": "478-272-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 COUNTY FARM RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310211799",
            "telephone_number": "478-272-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBERG",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN298574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn T Edmond, LPC
• Kizzy Oliver Edmond, FNP-C
• Ken Von Eiland
• Obioma Joseph Ekeledo, MD
• Elite MRI of Laurens, LLC
• Shequitta Jameretta Ellington, CNA
• Justin J Ellison, NP
• Emerald Behavioral and Hypnosis Services
• Emerald Behavioral Health Services
• Empire Marathon Logistics

• Registered Nurse in Dublin, GA
• Providers in Dublin, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.