Individual provider Active NPI

Amanda Gilleland Appling, PA-C

  • Physician Assistant
  • Cumming, GA
National Provider Identifier
1386938611
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7295 Issued in GA
Practice address
3970 Deputy Bill Cantrell Memorial Rd.
Ste 203
Cumming, GA 30040
Phone
(770) 887-5159
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7295 GA Primary

Addresses

Primary practice location

3970 Deputy Bill Cantrell Memorial Rd.
Ste 203
Cumming, GA 30040

Mailing address

3970 Deputy Bill Cantrell Memorial Rd.
St 203
Cumming, GA 30040
Phone (770) 887-5159

Other practice location 1

81 Prominence Ct Ste 100
Dawsonville, GA 30534-6372
Phone (770) 532-7202

Other identifiers 1

IdentifierTypeStateIssuer
7295OtherGASTATE LICENSE

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
I20150107001601 GA Practitioner - Physician Assistant 3870762776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7295GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopaedics, PC CurrentSince Aug 27, 2024 Accepting new patients
Florida Arthritis & Rheumatology Associates, LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

81 Prominence Ct
#100
Dawsonville, GA 30534
Phone (770) 532-7202

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

Interoperability endpoints

  • Direct secure messaging: amanda.appling.p81@direct.aara1.nextgenshare.com

Organizations & group practices 5

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1386938611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL RD.",
            "address_2": "ST 203",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-887-5159",
            "fax_number": "779-887-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL RD.",
            "address_2": "STE 203",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-887-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Prominence Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305346372",
            "country_code": "US",
            "telephone_number": "770-532-7202",
            "fax_number": "770-536-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLING",
        "first_name": "AMANDA",
        "middle_name": "GILLELAND",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7295",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.