Amber Reaves, NP
Individual provider Active NPI Nurse Practitioner · Winston, GA
NPI 1417567280 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1417567280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN211206 (GA)
- Practice address
- 9450 Grande Dr
Winston, GA 30187-2305 - Phone
- (404) 978-5501
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Apogee Medical Group Georgia
Practice addresses (Care Compare)
116 W Thigpen Ave
Lakeland, GA 31635-1011
Phone (214) 592-1329
1221 E McPherson Ave
Nashville, GA 31639-2326
Phone (214) 592-1329
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 333-1000
Hospital & facility affiliations
- SGMC Berrien Campus
- SGMC Health
- SGMC Health Lanier
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.29 of 100
- Quality
- 70.79
- Improvement activities
- 40
- Cost
- 81.32
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 |
|---|---|---|---|---|
| I20210112001864 | GA | Practitioner - Nurse Practitioner | 8123431103 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Georgia | Current |
Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current |
Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440
1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
62742 Collections Ctr Dr
Chicago, IL 60693
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN211206 | GA | Yes |
Addresses
Primary practice location
9450 Grande Dr
Winston, GA 30187-2305
Mailing address
9450 Grande Dr
Winston, GA 30187-2305
Phone (404) 978-5501
Other providers in Winston, GA
- Itelya Jackson
- Deborah Jones
- Gene Edward Lassiter
- Maple Clinic for Speech and Language LLC
- Linda M Paige
- Santashia Dinetira Reed
- Tania Masha Sims
- SM&B Group
- Leondria Taty
- United Medical Response LLC
All providers in Winston, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. 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.