Amanda Beth Shafer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1089 Issued in TN

Practice address

2347 Rossville Blvd
Chattanooga, TN 37408-2250

Phone

(423) 265-3122

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8594/brand/1/csg/1/fhir/r4

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.

• Volunteer Treatment Center, LLC

  • Methadone Clinic
  • Chattanooga, TN
  • NPI 1295830172
  NPD (past)
• Dalton Surgical Group PC

  • Surgery Physician
  • Dalton, GA
  • NPI 1811005143
  NPD (past)
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1184674749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 WHITE TAIL DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635868",
            "telephone_number": "423-360-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 ROSSVILLE BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374082250",
            "telephone_number": "423-265-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "4212",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Shannon Sexton
• April Lyn Seymour, LPC-MHSP
• William Gregory Seymour, LPC-MHSP
• SFDG, LLC
• Steven Randolph Shadix, M.D.
• Arif Shafi, M.D.
• Shah Pediatric Dentistry, PLLC
• Chetan Dineshbhai Shah, MD
• Indravadan Keshavlal Shah, M.D.
• Neha Shah, DMD

• Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.