Lacey Amanda Duff, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

003732 Issued in GA

Practice address

815 Atlanta Hwy
Cumming, GA 30040-2707

Phone

(770) 888-4929

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1194504936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 WILLOW WISP WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407185",
            "telephone_number": "937-567-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 ATLANTA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402707",
            "telephone_number": "770-888-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "LACEY",
        "middle_name": "AMANDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "003732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Dubose, M.D.
• Danielle Ducharme
• James William Duckett III, MD
• Jacqueline Bette Ducksworth, PHARMD
• Joseph W Ducksworth, DDS
• Malcolm Paul Dulock, M.D.
• Lindsay Dunbar, LPC
• R Matthew Dunford, D.M.D.
• Hannah Kristian Dunn, FNP
• Hannah Duran, LMSW

• Physical Therapy Assistant in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.