Individual provider Active NPI

Amanda Michelle Jones, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1467049304
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN167988 Issued in GA
Practice address
157 Clinic Ave Ste 201
Carrollton, GA 30117-4454
Phone
(770) 214-2800
Fax
(770) 214-2803
NPI assigned
Dec 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN167988 GA Primary

Addresses

Primary practice location

157 Clinic Ave Ste 201
Carrollton, GA 30117-4454

Mailing address

157 Clinic Ave Ste 201
Carrollton, GA 30117-4454
Phone (770) 214-2800

Other practice location 1

200 Allen Memorial Dr Ste 302B
Bremen, GA 30110-2012
Phone (770) 214-2800

Other practice location 2

690 Dallas Hwy Ste 103
Villa Rica, GA 30180-1265
Phone (770) 214-2800

Other identifiers 1

IdentifierTypeStateIssuer
RN167988OtherGAREGISTERED NURSE 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
I20210811002420 GA Practitioner - Nurse Practitioner 2860896925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
West Georgia Gastroenterology Associates,PCGroup PAC ID 5890783104, 12 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

157 Clinic Ave
Suite 201
Carrollton, GA 30117-4454
Phone 770214280013

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

Hospital & facility affiliations

  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
  • Higgins General Hospital Hospital, Bremen, GA, CCN 111320

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Georgia Gastroenterology Associates,PC CurrentSince Dec 15, 2025 Accepting new patients
Apogee Medical Group Georgia CurrentSince Jul 1, 2021 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

200 Allen Memorial Dr
Ste 302B
Bremen, GA 30110
Phone (770) 214-2800

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

157 Clinic Ave
Ste 201
Carrollton, GA 30117
Phone (770) 214-2800

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

690 Dallas Hwy
Ste 103
Villa Rica, GA 30180
Phone (770) 214-2800

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1467049304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 201",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 201",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Allen Memorial Dr Ste 302B",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102012",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 Dallas Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801265",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN167988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN167988",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.