Amanda Ruby Nettles, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1614 Williamsboro St
Oxford, NC 27565-5016

Phone

(919) 339-4077

NPI assigned

Jun 28, 2024

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• University of North Carolina at Chapel Hill

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200
  Medicare reassignment NPD
• Champion Health System, PA

  • Interventional Cardiology Physician
  • Dunn, NC
  • NPI 1831575190
  NPD
• Champion Heart and Vascular Center, Oxford PLLC

  • Cardiovascular Disease Physician
  • Oxford, NC
  • NPI 1497378855
  NPD

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1245075449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 WILLIAMSBORO ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275655016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 WILLIAMSBORO ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275655016",
            "telephone_number": "919-339-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "AMANDA",
        "middle_name": "RUBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makala Moyer, PT
• N.C Pediatric Associates
• Alexa Kathleen Namba, D.O., M.P.H.
• NC Emergency Physician Partners PLLC
• Rafael E Negron-Medina, M.D.
• New Beginnings Peer Support Services LLC
• New Century Ophthalmology, PC
• Ashley Newton
• Noble Behavioral Healthcare Services, Inc
• North Carolina Community Homes, LLC

• Physician Assistant in Oxford, NC
• Providers in Oxford, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.