Active NPI
Amanda M Rogers-Beckley, RN, NC-BC
- Health & Wellness Coach
- Powder Springs, GA
National Provider Identifier
1306667472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- RN315395
- Practice address
- 5711 Chanta LN
Powder Springs, GA 30127-4035 - Phone
- (470) 922-3838
- NPI assigned
- Oct 22, 2024
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN315395 | GA | |
| Health & Wellness Coach | 171400000X | RN315395 | GA | Primary |
Addresses
Primary practice location
5711 Chanta LN
Powder Springs, GA 30127-4035
Mailing address
#201
4400 Brownsville Rd Ste #105
Powder Springs, GA 30127-4035
Phone (470) 922-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN315395 | GA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1306667472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#201",
"address_2": "4400 BROWNSVILLE RD STE #105",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301274035",
"telephone_number": "470-922-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 CHANTA LN",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301274035",
"telephone_number": "470-922-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS-BECKLEY",
"first_name": "AMANDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RN, NC-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-22",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "GA",
"license": "RN315395",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "GA",
"license": "RN315395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powder Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.