Amanda Michelle Lauderback, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN186980 Issued in GA

Practice address

115 Eagle Spring Dr
Stockbridge, GA 30281-6486

Phone

(770) 474-0064

Fax

(770) 474-2998

NPI assigned

Jan 22, 2013

Last updated

Oct 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amanda Michelle Bice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta Women's Heathcare Specialists, LLC

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1568471910
  NPD (past)
• Henry Anesthesia Associates LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1447229943
  NPD (past)
• Serena D. Tidwell, M.D., P.C.

  dba Midtown OB GYN

  • Point of Service
  • Columbus, GA
  • NPI 1689759581
  NPD (past)
• Southern Crescent Women's Health Specialists

  dba women's health specialists

  • Obstetrics & Gynecology Physician
  • Stockbridge, GA
  • NPI 1437554847
  NPD (past)

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1417295601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAGLE SPRING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816486",
            "telephone_number": "770-474-0064",
            "fax_number": "770-474-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAGLE SPRING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816486",
            "telephone_number": "770-474-0064",
            "fax_number": "770-474-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERBACK",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN186980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "003131811A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "RN186980",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BICE",
            "middle_name": "MICHELLE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Women's Health Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.