Individual provider Active NPI

Susan M Amos, FNP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1467036244
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN073246 Issued in GA
Practice address
153 Mayfield Rd
Alpharetta, GA 30009-1537
Phone
(678) 770-9438
NPI assigned
May 8, 2021
Last updated
May 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN073246 GA Primary

Addresses

Primary practice location

153 Mayfield Rd
Alpharetta, GA 30009-1537

Mailing address

153 Mayfield Rd
Alpharetta, GA 30009-1537
Phone (678) 770-9438

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
I20211116002977 GA Practitioner - Nurse Practitioner 4284023052 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Hospice, Inc. CurrentSince Oct 4, 2021 Accepting new patients
Piedmont Hospice & Palliative Inc CurrentSince Dec 15, 2023 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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1467036244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAYFIELD RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091537",
            "telephone_number": "678-770-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAYFIELD RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091537",
            "telephone_number": "678-770-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN073246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.