Amanda Quinn, FNP
Individual provider Active NPI Family Nurse Practitioner · Tunnel Hill, GA
NPI 1306228887 · NPPES record last updated Jun 22, 2015
Key facts
- NPI
- 1306228887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN240724 (GA)
- Practice address
- 134 Rhea McClanahan Dr
Tunnel Hill, GA 30755-7328 - Phone
- (706) 516-1814
- Fax
- (706) 965-5941
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151020001878 | GA | Order and Referring Only - Nurse Practitioner | 2163731852 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN240724 | GA | Yes |
Addresses
Primary practice location
134 Rhea McClanahan Dr
Tunnel Hill, GA 30755-7328
Mailing address
13570 N Main St
Trenton, GA 30752-2012
Phone (706) 956-2665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000211956C | Medicaid | GA | |
| 003138289A | Medicaid | GA | |
| 000211956A | Medicaid | GA |
Other providers in Tunnel Hill, GA
- Virginia L Leonard
- Patricia Moya
- North Georgia Healthcare Tunnel Hill
- Jennifer Ovalle
- Primary Health Care Center of Dade, Inc.
- Rebecca Lynn Ray
- Janet Therese Rochon
- Tunnel Hill Pharmacy Inc
- Tunnel Hill Walk in Medical Center, LLC
- Joshua Neil Wiseman
All providers in Tunnel Hill, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.