Active NPI
Amanda Nicole Collins
- Nurse Practitioner
- Gastonia, NC
National Provider Identifier
1366915985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 253269
- Practice address
- 2525 Court Dr
Gastonia, NC 28054-2140 - Phone
- (704) 834-2000
- NPI assigned
- Jan 7, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 253269 | NC | Primary |
Addresses
Primary practice location
2525 Court Dr
Gastonia, NC 28054-2140
Mailing address
7294 Oxford Bluff Dr
Stanley, NC 28164-6812
Phone (704) 308-2858
Other practice location 1
7294 Oxford Bluff Dr
Stanley, NC 28164-6812
Phone (704) 308-2858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.82 of 100
- Quality
- 84.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastonia Physician Services, PLLC | Current | Accepting new patients | |
| Gastonia Physician Services, PLLC | Current | Accepting new patients | |
| Gastonia Physician Services, PLLC | Current | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1316367691
-
- Emergency Medicine Physician
- Mount Holly, NC
- NPI 1023416708
-
- Emergency Medicine Physician
- Belmont, NC
- NPI 1104644004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562371200000",
"number": "1366915985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7294 OXFORD BLUFF DR",
"city": "STANLEY",
"state": "NC",
"postal_code": "281646812",
"telephone_number": "704-308-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542140",
"telephone_number": "704-834-2000"
}
],
"practiceLocations": [
{
"address_1": "7294 Oxford Bluff Dr",
"address_purpose": "LOCATION",
"city": "Stanley",
"state": "NC",
"postal_code": "281646812",
"country_code": "US",
"telephone_number": "704-308-2858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "253269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.