Amy Nicole Causey, P.A.-C
Individual provider Active NPI Physician Assistant · Baxley, GA
NPI 1356576268 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1356576268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 7447 (GA)
- Practice address
- 275 N Main St
Baxley, GA 31513-0516 - Phone
- (912) 785-7022
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Medicine of Baxley, Inc
Practice addresses (Care Compare)
275 N Main St
Baxley, GA 31513-0516
Phone (407) 403-2228
Hospital & facility affiliations
- Appling Healthcare
- Jeff Davis Hospital
- Bacon County Hospital
- Memorial Health Meadows Hospital
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 |
|---|---|---|---|---|
| I20160119001358 | GA | Practitioner - Physician Assistant | 7618149097 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7447 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients |
Locations
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9104998 | FL | |
| Physician Assistant | 363A00000X | 7447 | GA | Yes |
Addresses
Primary practice location
275 N Main St
Baxley, GA 31513-0516
Mailing address
9395 Ten Mile Rd
Baxley, GA 31513-9146
Other practice location 1
9395 Ten Mile Rd
Baxley, GA 31513-9146
Phone (407) 403-2228
Other practice location 2
111 E Washington St
Apt. 2523
Orlando, FL 32801-2368
Phone (912) 253-1174
Other providers in Baxley, GA
- Bruce M. Gioia, MD, PA, Inc.
- Bruce M. Gioia, MD, PA, Inc.
- Burke Hospital Company
- Bela Ann Caldwell
- Rendi M Carter
- Certified Respiratory Services,Inc.
- David M Cheney
- Walt Collins
- Comfort Care Hospice
- Consultants in Pain Medicine, LLC
All providers in Baxley, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.