Individual provider Active NPI

Amanda Phillips, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1306257035
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN154237 Issued in GA
Practice address
682 Hemlock St
Suite 490
Macon, GA 31201-6883
Phone
(478) 741-1208
Fax
(478) 741-9361
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN154237 GA Primary

Addresses

Primary practice location

682 Hemlock St
Suite 490
Macon, GA 31201-6883

Mailing address

682 Hemlock St
Suite 490
Macon, GA 31201-6883
Phone (478) 741-1208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20140804001435 GA Practitioner - Nurse Practitioner 3577780204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians

Practice addresses (Care Compare)

1000 Hillcrest Pkwy
Dublin, GA 31021-4208
Phone (478) 741-1208

750 N Cobb St
Suite 130
Milledgeville, GA 31061-7168
Phone (478) 741-1208

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as individual
Quality
78.11
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN154237GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Heart Center, PC CurrentSince May 19, 2014 Accepting new patients
Central Georgia Heart Center, PC CurrentSince May 19, 2014 Accepting new patients

Locations

1000 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 241-0241

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (478) 743-7068

2960 Riverside Dr
Macon, GA 31204

682 Hemlock St
Ste 490
Macon, GA 31201

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670

502 Sumter St
Montezuma, GA 31063
Phone (478) 472-3100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD
  • Direct secure messaging: amanda.phillips@cghc.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1306257035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 490",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016883",
            "telephone_number": "478-741-1208",
            "fax_number": "478-741-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 490",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016883",
            "telephone_number": "478-741-1208",
            "fax_number": "478-741-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN154237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.