Individual provider Active NPI

Amanda Jo Wenson, FNP-BC

  • Family Nurse Practitioner
  • Sandy Springs, GA
National Provider Identifier
1366140444
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN249658 Issued in GA
Practice address
6667 Vernon Woods Dr Ste B40
Sandy Springs, GA 30328-3227
Phone
(404) 968-9642
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN249658 GA
Family Nurse Practitioner 363LF0000X APRN249658 GA Primary

Addresses

Primary practice location

6667 Vernon Woods Dr Ste B40
Sandy Springs, GA 30328-3227

Mailing address

6203 Providence Club Dr
Mableton, GA 30126-3698
Phone (678) 478-5695

Other practice location 1

1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

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
I20250626002969 GA Practitioner - Nurse Practitioner 7214449990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1155 Concord Rd SE
Suite 200
Smyrna, GA 30080-4255
Phone (678) 600-5137

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2520 N Decatur Rd
Decatur, GA 30033-6117
Phone (678) 685-8100

2700 Clairmont Rd NE
Atlanta, GA 30329-2713
Phone (404) 327-1747

3617 Roswell Nerd a
Atlanta, GA 30305-1111
Phone (404) 996-0196

3999 Austell Rd
Suite 901
Austell, GA 30106-1160
Phone (770) 809-3032

4650 Hugh Howell Rd
Suite 500
Tucker, GA 30084-5003
Phone (678) 956-8630

572 Hank Aaron Dr
Suite 4200
Atlanta, GA 30312-2896
Phone (678) 535-0170

882 Ponce de Leon Ave
Atlanta, GA 30306-4268
Phone (770) 809-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN249658GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jun 17, 2025 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2121

Organizations & group practices 1

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1366140444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 PROVIDENCE CLUB DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263698",
            "telephone_number": "678-478-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR STE B40",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283227",
            "telephone_number": "404-968-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnson Fy Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENSON",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN249658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN249658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.