Active NPI
Amanda Michelle Romeu, DO
- Neurology with Special Qualifications in Child Neurology Physician
- Atlanta, GA
National Provider Identifier
1205329638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 104631
- Practice address
- 5461 Meridian Mark Rd
Atlanta, GA 30342-3007 - Phone
- (404) 785-3750
- NPI assigned
- Jun 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 104631 | GA | Primary |
Addresses
Primary practice location
5461 Meridian Mark Rd
Atlanta, GA 30342-3007
Mailing address
5461 Meridian Mark Rd
Atlanta, GA 30342-3007
Phone (404) 785-3750
Other practice location 1
725 Albany St Fl 8
Boston, MA 02118-3549
Phone (617) 414-4841
Other practice location 2
1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4483
Other names 1
- Dr. Amanda Michelle Romeu-Phan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210803002387 | MA | Order and Referring Only - Pediatric Medicine | 8729482468 | |
| I20241016001273 | GA | Order and Referring Only - Neurology | 8729482468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104631 | GA | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Hospital Based, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1205329638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5461 MERIDIAN MARK RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423007",
"telephone_number": "404-785-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5461 MERIDIAN MARK RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423007",
"telephone_number": "404-785-3750"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St Fl 8",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021183549",
"country_code": "US",
"telephone_number": "617-414-4841",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 State Route 33",
"address_purpose": "LOCATION",
"city": "Neptune",
"state": "NJ",
"postal_code": "077534859",
"country_code": "US",
"telephone_number": "732-776-4483",
"fax_number": "732-776-4798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMEU",
"first_name": "AMANDA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "GA",
"license": "104631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "ROMEU-PHAN",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.