Amanda Rucker Lanier, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1351 Issued in AL

Practice address

2900 Cahaba Rd
Mountain BRK, AL 35223-1937

Phone

(205) 877-9773

Fax

(205) 877-9775

NPI assigned

Oct 5, 2015

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alanier@villagedermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mobile, AL
  • NPI 1366936759
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mountain BRK, AL
  • NPI 1720664907
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1306216239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CAHABA RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231937",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Gilbreath Dr",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "AL",
            "postal_code": "351212827",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Fieldstown Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712458",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Office Park Cir",
            "address_purpose": "LOCATION",
            "city": "Mountain Brk",
            "state": "AL",
            "postal_code": "352232563",
            "country_code": "US",
            "telephone_number": "205-877-9773",
            "fax_number": "205-877-9775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANIER",
        "first_name": "AMANDA",
        "middle_name": "RUCKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alanier@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "430 Fieldstown Rd Ste 104",
            "city": "Gardendale",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350712458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alanier@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "150 Gilbreath Dr",
            "city": "Oneonta",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351212827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alanier@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2900 Cahaba Rd",
            "city": "Mountain Brk",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352231937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alanier@villagedermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "14 Office Park Cir",
            "city": "Mountain Brk",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352232563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physician Assistant in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.