Individual provider Active NPI

Amanda F Bauer, MD

  • Diagnostic Radiology Physician
  • Smyrna, GA
National Provider Identifier
1093721052
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
057932 Issued in GA
Practice address
3949 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone
(770) 434-0710
NPI assigned
Jul 31, 2006
Last updated
Mar 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 057932 GA Primary

Addresses

Primary practice location

3949 S Cobb Dr SE
Smyrna, GA 30080-6342

Mailing address

PO Box 2994
Kennesaw, GA 30156-9181
Phone (770) 779-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, VA, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060821000520 GA Practitioner - Diagnostic Radiology 5496788879 Reassigns benefits to 5 organizations
I20080731000523 NC Practitioner - Diagnostic Radiology 5496788879 Reassigns benefits to 2 organizations
I20190903002352 VA Practitioner - Diagnostic Radiology 5496788879 Reassigns benefits to 1 organization
I20190927001593 DC Practitioner - Diagnostic Radiology 5496788879

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

Practice addresses (Care Compare)

17 Wieuca Trce NE
Atlanta, GA 30342-3856
Phone (336) 274-6682

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Jul 2, 2023 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jul 2, 2023 Accepting new patients
Chatham Hospital Inc Current Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology CurrentSince Aug 1, 2006 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Feb 9, 2023 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Aug 24, 2023 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Jun 17, 2019 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Aug 24, 2023 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Clinch County Hospital Authority CurrentSince Apr 1, 2016 Accepting new patients
American Health Imaging of Georgia, LLC Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients
Atlantic Diagnostic Center PA Diagnostic Radiology PastSince Sep 18, 2010 Accepting new patients
Atlantic Diagnostic Center PA Diagnostic Radiology Past Accepting new patients
Elite Imaging LLC Diagnostic Radiology Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology Past Accepting new patients
Highway Imaging Associates, LLP Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Diagnostic Radiology & Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

3824 Austell Rd SW
Marietta, GA 30008
Phone (770) 739-9770

3949 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-0710

4030 Oaks Professional Pkwy
Ste 101
Burlington, NC 27215

1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999

1126 N Church St
Ste 200
Greensboro, NC 27401
Phone (336) 273-2511

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

5055 Seminary Rd
Ste 104
Alexandria, VA 22311
Phone (703) 379-0029

8986 Lorton Station Blvd
Lorton, VA 22079
Phone (703) 820-8320

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1093721052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2994",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301569181",
            "telephone_number": "770-779-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "770-434-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "AMANDA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "057932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.