Individual provider Active NPI

Amanda Watt, FNP-C

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1346755469
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209660 Issued in GA
Practice address
500 Spillers Way
Warner Robins, GA 31088-0513
Phone
(478) 953-4844
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN209660 GA
Family Nurse Practitioner 363LF0000X RN209660 GA Primary

Addresses

Primary practice location

500 Spillers Way
Warner Robins, GA 31088-0513

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (877) 852-2677

Other practice location 1

774 Ga Highway 96
Bonaire, GA 31005-3300
Phone (478) 988-5711

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
I20180215001075 GA Practitioner - Nurse Practitioner 8628338431 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J. Baggett, DO,PC CurrentSince May 1, 2022 Accepting new patients
Central Georgia Health Care Center, PC CurrentSince May 1, 2022 Accepting new patients

Locations

500 Spillers Way
Warner Robins, GA 31088
Phone (478) 953-4844

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFBFBA/Endpoint/JFBFBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1346755469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "877-852-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880513",
            "telephone_number": "478-953-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 Ga Highway 96",
            "address_purpose": "LOCATION",
            "city": "Bonaire",
            "state": "GA",
            "postal_code": "310053300",
            "country_code": "US",
            "telephone_number": "478-988-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATT",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN209660",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.