Amanda J Raynor, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN23215 Issued in GA

Practice address

5300 Bowman Park
Macon, GA 31210-6583

Phone

(478) 741-3007

Fax

(478) 744-3481

NPI assigned

Aug 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amanda Carter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72215

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.

• Kids First Pediatric Group, LLC

  • Pediatrics Physician
  • Stockbridge, GA
  • NPI 1720117989
  NPD (past)
• Middle Georgia Medical Associates, P.C.

  • Pulmonary Disease Physician
  • Warner Robins, GA
  • NPI 1992751911
  NPD (past)
• Primary Pediatrics, PC

  • Specialist
  • Macon, GA
  • NPI 1477638575
  NPD (past)
• Snellville Pediatrics, P.C.

  • Pediatrics Physician
  • Snellville, GA
  • NPI 1154453967
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1043765720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BOWMAN PARK",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312106583",
            "telephone_number": "478-741-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BOWMAN PARK",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312106583",
            "telephone_number": "478-741-3007",
            "fax_number": "478-744-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN232150",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN23215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CARTER",
            "prefix": "MS.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Raulerson, PHARMD
• Madison Lynne Rawlins, RBT
• Joyce A Rawls, MD
• Ray Brant, D.C., P.C.
• Ray Stapleton, Crna P.C.
• Readiset Connections LLC
• Jamanic Jabre Reaves
• Shinerika Reaves, LPC
• Rebecca L Bass MD - Pulmonary Medicine PC
• Reddy Valadri Primary Care

• All providers in Macon, GA
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.