Amanda Gayle Dickey

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.007537RX Issued in OH

Practice address

4715 Hilton Corporate Drive
Columbus, OH 43232-4152

Phone

(614) 647-2000

Fax

(828) 287-4320

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adickey217968@direct-srhs.et0939.epichosted.com

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.

• Absolutecare of Ohio, LLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, OH
  • NPI 1619605672
  Medicare reassignment
• Absolutecare of Ohio, LLC

  • Multi-Specialty Clinic/Center
  • Columbus, OH
  • NPI 1003544495
  NPD
• Gardner-Webb University

  • Voluntary or Charitable Agency
  • Boiling Springs, NC
  • NPI 1720265903
  NPD (past)
• Gardner-Webb University

  • Voluntary or Charitable Agency
  • Boiling Springs, NC
  • NPI 1881870038
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1295381069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 HILTON CORPORATE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324152",
            "telephone_number": "614-647-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 HILTON CORPORATE DRIVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324152",
            "telephone_number": "614-647-2000",
            "fax_number": "828-287-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "AMANDA",
        "middle_name": "GAYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.007537RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adickey217968@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "adickey217968@direct-srhs.et0939.epichosted.com",
            "address_1": "444 NC Hwy 108",
            "city": "Rutherfordton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281397871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Dee Dickerson, DDS
• Lynne M Dickerson, LISW
• Marvin Leon Dickerson
• Rashawn Dickerson, LCDC-II
• Terri Ann Dickerson, CNP
• Laura J Dickey, LPCC-S
• Trisha Raelynn Dickey, M.D.
• Alex Alyce Lagneaux Dickinson, MD
• Sara Elizabeth Dickinson, DO
• Theresa Ann Dickinson, LPN

• Medical Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.