Amanda Hope Descalzo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007836 Issued in GA

Practice address

690 Dallas Hwy Ste 103
Villa Rica, GA 30180-1265

Phone

(770) 214-2800

Fax

(770) 214-2803

NPI assigned

Nov 2, 2012

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Georgia Gastroenterology Associates,PCGroup PAC ID 5890783104, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
• Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015

Merit-based Incentive Payment System (MIPS)

Final score

92.21 of 100Reported as group

Quality

94.35

Promoting interoperability

100

Improvement activities

40

Cost

77.6

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• West Georgia Gastroenterology Associates,PC

  • Specialist
  • Carrollton, GA
  • NPI 1962594168
  Medicare reassignment Care Compare group
• Apogee Medical Group Georgia Inc

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  Medicare reassignment
• TMG Northwest Georgia Oncology Center Inc

  • Medical Oncology Physician
  • Villa Rica, GA
  • NPI 1932728326
  NPD (past)
• Health Care Center Physicians, Inc.

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1831105139
  NPD (past)
• Kent Management Group Inc

  dba Premier Medical Partners

  • Internal Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1417903808
  NPD (past)
• Premier Renal Care, LLC

  • Nephrology Physician
  • Cuyahoga Falls, OH
  • NPI 1922262260
  NPD (past)

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

• Tanner Medical Center, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation
• TMC/Villa Rica Hospital, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748
  Care Compare affiliation

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1508110255",
    "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": "690 DALLAS HWY STE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801265",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Dixie St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173818",
            "country_code": "US",
            "telephone_number": "770-836-9666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Clinic Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301174454",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Allen Memorial Dr Ste 302B",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102047",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESCALZO",
        "first_name": "AMANDA",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "007836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171912E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ryan Davis
• Mary Katheryn Denmon
• Stuard Dillingham, PHARMD
• Sonali Barkat Dinani, PHARM. D.
• Shelia Dixon
• Sheryl Ann Dixon, FNP-C
• Aleta Dobbs-Farmer, MA, NCC, LPC

• Medical Physician Assistant in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.