Susan M Amos, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Alpharetta, GA
NPI 1467036244 · NPPES record last updated May 8, 2021
Key facts
- NPI
- 1467036244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN073246 (GA)
- Practice address
- 153 Mayfield Rd
Alpharetta, GA 30009-1537 - Phone
- (678) 770-9438
- NPI assigned
- May 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20211116002977 | GA | Practitioner - Nurse Practitioner | 4284023052 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN073246 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Hospice, Inc. | Current |
Accepting new patients | |
| Piedmont Hospice & Palliative Inc | Current |
Accepting new patients |
Locations
1031 Cambridge Sq
Ste G
Alpharetta, GA 30009
Phone (470) 895-0501
1558 Marietta Hwy
Ste 210
Canton, GA 30114
Phone (470) 259-0444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN073246 | GA | Yes |
Addresses
Primary practice location
153 Mayfield Rd
Alpharetta, GA 30009-1537
Mailing address
153 Mayfield Rd
Alpharetta, GA 30009-1537
Phone (678) 770-9438
Other providers in Alpharetta, GA
- American Professional Associates LLC
- Nooshin Amini
- Aslan Amirian
- Amk Horizon Senior Care LLC
- Yvette Amoa
- Augustina Eshovo Amune
- Amy L. Alderson, PH.D. LLC
- Chika C Ana
- Saahas Anandan
- Kerianne L. Anastasia
All providers in Alpharetta, GA · Family 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 May 8, 2021. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.