Active NPI
Amanda D Sumner, MD
- Emergency Medicine Physician
- Fort Stewart, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101241280
- Practice address
- 1601 Harmon Ave
Department of Emergency Medicine
Fort Stewart, GA 31314 - Phone
- (912) 435-6721
- NPI assigned
- Mar 15, 2007
- Reactivated
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101241280 | VA | Primary |
Addresses
Primary practice location
1601 Harmon Ave
Department of Emergency Medicine
Fort Stewart, GA 31314
Mailing address
1601 Harmon Ave
Department of Emergency Medicine
Fort Stewart, GA 31314
Phone (912) 435-6721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 11TH St SW
HCA Florida Lake City Medical Center Emerge
Live Oak, FL 32604-0800
Phone (386) 362-0800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241280 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
1100 11th St SW
Fl Lk
Live Oak, FL 32064
Phone (386) 362-0800
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1770345266
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1487788162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 HARMON AVE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "31314",
"telephone_number": "912-435-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 HARMON AVE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "31314",
"telephone_number": "912-435-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "AMANDA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2010-12-30",
"deactivation_date": "2007-07-17",
"reactivation_date": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101241280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.