Individual provider Active NPI

Amanda Weathers, NP

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1063014181
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203648 Issued in GA
Practice address
1665 Highway 34 E Ste 100
Newnan, GA 30265-2404
Phone
(770) 252-7557
Fax
(770) 252-7513
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 RN203648 GA Primary

Addresses

Primary practice location

1665 Highway 34 E Ste 100
Newnan, GA 30265-2404

Mailing address

1665 Highway 34 E Ste 100
Newnan, GA 30265-2404
Phone (770) 252-7557

Other practice location 1

105A Corporate Plaza Dr
LaGrange, GA 30241-2801
Phone (678) 800-0099

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
I20210413001526 GA Practitioner - Nurse Practitioner 2860800836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nexus Pain Center of Columbus LLCGroup PAC ID 8426050246, 17 clinicians

Practice addresses (Care Compare)

1015 Lafayette Pkwy
Suite 100
Lagrange, GA 30241-3584
Phone (762) 842-0221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN203648GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Anesthesia, LLC PastSince Jul 6, 2025 Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDHBAA
  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1063014181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 HIGHWAY 34 E STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652404",
            "telephone_number": "770-252-7557",
            "fax_number": "770-252-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 HIGHWAY 34 E STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652404",
            "telephone_number": "770-252-7557",
            "fax_number": "770-252-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105A Corporate Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302412801",
            "country_code": "US",
            "telephone_number": "678-800-0099",
            "fax_number": "770-252-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.