Amanda Nichole Eley, APRN, MSN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Fort Eisenhower, GA

NPI 1174415087 · NPPES record last updated Jun 24, 2026

Key facts

NPI
1174415087
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
F06261010 (GA)
Practice address
300 E Hospital Rd
Fort Eisenhower, GA 30905-0000
Phone
(210) 473-8162
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001265926VAMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06261010 GA Yes

Addresses

Primary practice location

300 E Hospital Rd
Fort Eisenhower, GA 30905-0000

Mailing address

266 Church St
Blythe, GA 30805-3408
Phone (210) 473-8162

Other providers in Fort Eisenhower, GA

All providers in Fort Eisenhower, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.