Active NPI
Quality Primary Care
- Family Medicine Physician
- Athens, GA
National Provider Identifier
1124613815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QUALITY PRIMARY CARE
- Practice address
- 1175 Mitchell Bridge Rd
Athens, GA 30606-6411 - Phone
- (706) 534-4637
- NPI assigned
- Mar 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Gunter, NP
- Title
- NP/Owner/Provider
- Phone
- (706) 534-4637
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1175 Mitchell Bridge Rd
Athens, GA 30606-6411
Mailing address
1175 Mitchell Bridge Rd
Athens, GA 30606-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003190555H | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ajgunter@bellsouth.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2224716 | Quality Primary Care, LLC | Certificate of waiver | May 13, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Athens, GA
- NPI 1013336916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627948800000",
"number": "1124613815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 MITCHELL BRIDGE RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 MITCHELL BRIDGE RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066411",
"telephone_number": "706-534-4637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-04",
"last_updated": "2021-08-03",
"certification_date": "2021-07-19",
"status": "A",
"authorized_official_last_name": "GUNTER",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "NP/OWNER/PROVIDER",
"authorized_official_telephone_number": "706-534-4637",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003190555H",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ajgunter@bellsouth.net",
"affiliation": "N",
"address_1": "1175 Mitchell Bridge Rd",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306066411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.