Active NPI
Amie Lee Hutcheson
- Pharmacist
- Douglas, GA
National Provider Identifier
1194271536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029411
- Practice address
- 602 Peterson Ave S
Douglas, GA 31533-5233 - Phone
- (912) 260-1198
- Fax
- (912) 393-1839
- NPI assigned
- Aug 26, 2016
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH029411 | GA | Primary |
Addresses
Primary practice location
602 Peterson Ave S
Douglas, GA 31533-5233
Mailing address
602 Peterson Ave S
Douglas, GA 31533-5233
Phone (912) 260-1198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029411 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
602 Peterson Ave S
Douglas, GA 31533
Phone (912) 260-1198
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1194271536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 PETERSON AVE S",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315335233",
"telephone_number": "912-260-1198",
"fax_number": "912-393-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 PETERSON AVE S",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315335233",
"telephone_number": "912-260-1198",
"fax_number": "912-393-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHESON",
"first_name": "AMIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglas, GA
- James Andrew Holt, PHARM D, RPH
- Hospice Care Options Inc
- Joshua Hughes, ANP-BC
- Timothy A Humphries, MD
- Shaista Hussain, M.D.
- Lindsay M Hutcheson, M ED CCC/SLP
- Larry Hutchison, D.C.
- I V Care of Middle Georgia Inc (I V Care Options)
- Ich Physician Group (Irwin Surgical Medical)
- In Home Respiratory Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.