Active NPI
Paulina Amoah
- Family Nurse Practitioner
- Brookneal, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024190353
- Practice address
- 104 Carolina Ave
Brookneal, VA 24528-2643 - Phone
- (434) 376-2325
- NPI assigned
- Dec 28, 2021
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024190353 | VA | Primary |
| Registered Nurse | 163W00000X | RN357353 | OH |
Addresses
Primary practice location
104 Carolina Ave
Brookneal, VA 24528-2643
Mailing address
655 S Willow St Ste 128
Manchester, NH 03103-5723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Carolina Ave
Brookneal, VA 24528-2643
Phone (434) 376-2325
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN357353 | OH | MD | Registered Nurse |
| 0024190353 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Current | Accepting new patients |
Locations
104 Carolina Ave
Brookneal, VA 24528
Phone (434) 376-2325
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lynchburg, VA
- NPI 1770693939
-
dba Centra Health Cardiothoracic Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1407884448
Hospital
-
dba The Pain Center
- Pain Medicine (Anesthesiology) Physician
- Lynchburg, VA
- NPI 1811925852
Hospital
-
dba The Wound Care Center
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lynchburg, VA
- NPI 1902834948
Hospital
-
dba CMG Vascular Surgery
- Vascular Surgery Physician
- Lynchburg, VA
- NPI 1144880782
Hospital
-
dba Centra Medical Group Stroobants Cardiovascular Center
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1184964124
Hospital
-
dba Centra Lynchburg Hematology and Oncology
- Hematology & Oncology Physician
- Lynchburg, VA
- NPI 1700293628
Hospital
-
dba Centra Southside Community Hospital
- General Acute Care Hospital
- Farmville, VA
- NPI 1518952761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1467112821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S WILLOW ST STE 128",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CAROLINA AVE",
"city": "BROOKNEAL",
"state": "VA",
"postal_code": "245282643",
"telephone_number": "434-376-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOAH",
"first_name": "PAULINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2024-09-04",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024190353",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN357353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookneal, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.