Individual provider Active NPI

Amber Gosa, COA

  • Ophthalmic Assistant
  • Sandy Springs, GA
National Provider Identifier
1508608407
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic AssistantTaxonomy code 156FX1101X
License
326228 Issued in GA
Practice address
1100 Johnson Fy Rd NE Ste 593
Sandy Springs, GA 30342-1733
Phone
(404) 255-9096
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Assistant 156FX1101X 326228 GA Primary

Addresses

Primary practice location

1100 Johnson Fy Rd NE Ste 593
Sandy Springs, GA 30342-1733

Mailing address

350 Country Club Dr Ste a
Stockbridge, GA 30281-9084
Phone (770) 907-9400

Other practice location 1

350 Country Club Dr Ste A
Stockbridge, GA 30281-9084
Phone (770) 907-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
326228GAMDOphthalmic Assistant

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1508608407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COUNTRY CLUB DR STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084",
            "telephone_number": "770-907-9400",
            "fax_number": "770-907-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE STE 593",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421733",
            "telephone_number": "404-255-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Country Club Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819084",
            "country_code": "US",
            "telephone_number": "770-907-9400",
            "fax_number": "770-907-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSA",
        "first_name": "AMBER",
        "credential": "COA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1101X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "GA",
            "license": "326228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.