Active NPI
Amanda Ellen Berry, MSN, RN, ACNP
- Acute Care Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN 141398 NP
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2208 - Phone
- (404) 502-2787
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN 141398 NP | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2208
Mailing address
2245 Fort St SE
Smyrna, GA 30080-9262
Phone (404) 502-2787
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 Northside Cherokee Blvd
Suite 150
Canton, GA 30115-8018
Phone (770) 924-5095
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 67.82
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 77.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 141398 NP | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Cardiovascular Professional Services, LLC | Current | Accepting new patients |
Locations
1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309
460 Northside Cherokee Blvd
Ste 150
Canton, GA 30115
Phone (470) 639-6250
1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Roswell, GA
- NPI 1518979921
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1083651079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 FORT ST SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300809262",
"telephone_number": "404-502-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-502-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "AMANDA",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "MSN, RN, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN 141398 NP",
"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 Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.