Active NPI
Amanda Katlin Reid, PA
- Physician Assistant
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-993
- Practice address
- 3317 N Wimberly Dr
Fayetteville, AR 72703-4056 - Phone
- (479) 521-2752
- Fax
- (479) 521-4603
- NPI assigned
- Jan 31, 2014
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PA-993 | AR | |
| Physician Assistant | 363A00000X | PA-993 | AR | Primary |
Addresses
Primary practice location
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Mailing address
12804 Rhoden LN
Lowell, AR 72745-9198
Phone (417) 291-2816
Other practice location 1
609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 751-5711
Other names 1
- Amanda Katlin Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 SE Moberly LN
Ozark Orthopaedics
Bentonville, AR 72712-7017
Phone (479) 521-2752
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752
3352 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-2752
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 79.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.39 of 100
- Quality
- 99.78
- Improvement activities
- 0
- Cost
- 78.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-993 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Orthopaedics, PA | Orthopaedic Surgery | Current | Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Physician Assistant | Current | Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Current | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Interoperability endpoints
- amanda.reid.1@18403.direct.athenahealth.com
- https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1649210584
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
-
- Orthopaedic Surgery Physician
- Siloam Springs, AR
- NPI 1255164570
-
- Emergency Medicine Physician
- Springdale, AR
- NPI 1184045056
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757808000000",
"number": "1295158913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12804 RHODEN LN",
"city": "LOWELL",
"state": "AR",
"postal_code": "727459198",
"telephone_number": "417-291-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 N WIMBERLY DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034056",
"telephone_number": "479-521-2752",
"fax_number": "479-521-4603"
}
],
"practiceLocations": [
{
"address_1": "609 W Maple Ave",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727645335",
"country_code": "US",
"telephone_number": "479-751-5711",
"fax_number": "479-757-2919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REID",
"first_name": "AMANDA",
"middle_name": "KATLIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2025-09-14",
"certification_date": "2025-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "PA-993",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "DAVIS",
"middle_name": "KATLIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.