Individual provider Active NPI

Amanda H Smith

  • Anesthesiologist Assistant
  • Atlanta, GA
National Provider Identifier
1053573931
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
5444 Issued in GA
Practice address
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone
(404) 778-3900
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 5444 GA Primary

Addresses

Primary practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Mailing address

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

Other practice location 1

1001 Johnson Fy Rd NE
Atlanta, GA 30342-1605
Phone (404) 785-2008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081105000529 GA Practitioner - Anesthesiology Assistant 4880753862 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Emory University School of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
North Perimeter Anesthesia LLCGroup PAC ID 4486951845, 19 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

1100 Johnson Fy Rd NE
Suite 200
Atlanta, GA 30342-2073
Phone (404) 257-1900

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN135472GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jul 30, 2012 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Aug 15, 2019 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 30, 2012 Accepting new patients
Children'S Anesthesia Services, LLC Anesthesiologist Assistant CurrentSince Sep 28, 2022 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince May 8, 2023 Accepting new patients
North Perimeter Anesthesia LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000

3005 Royal Blvd S
Ste 200
Alpharetta, GA 30022
Phone (770) 680-2335

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

3200 Downwood Cir NW
Ste 400
Atlanta, GA 30327
Phone (404) 351-0500

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

10692 Medlock Bridge Rd
Ste 100A
Johns Creek, GA 30097
Phone (404) 446-2492

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

4500 Hospital Blvd
Ste 200
Roswell, GA 30076
Phone (770) 676-4600

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

5445 Meridian Mark Rd
Ste 340
Sandy Springs, GA 30342
Phone (404) 785-5650

1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900

5669 Peachtree Dunwoody Rd
Ste 290
Sandy Springs, GA 30342
Phone (678) 399-2050

1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988

Organizations & group practices 7

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 2

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1053573931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-778-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-778-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Johnson Fy Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421605",
            "country_code": "US",
            "telephone_number": "404-785-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "5444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.