Amanda Danielle Gattie, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN197686 Issued in GA

Practice address

5040 Bill Gardner Pkwy Ste 100
Locust Grove, GA 30248-3758

Phone

(678) 583-5437

Fax

(678) 583-5484

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By 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 2

Addresses

Other names 1

• Amanda Danielle Gattie Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.gattie@pppc.eclinicaldirectplus.com

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.

• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482
  NPD (past)
• Locust Grove Pediatrics

  • Pediatrics Physician
  • Locust Grove, GA
  • NPI 1174693519
  NPD (past)
• Primary Pediatrics, PC

  • Specialist
  • Macon, GA
  • NPI 1477638575
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1528516374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 BILL GARDNER PKWY STE 100",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483758",
            "telephone_number": "678-583-5437",
            "fax_number": "678-583-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 BILL GARDNER PKWY STE 100",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483758",
            "telephone_number": "678-583-5437",
            "fax_number": "678-583-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTIE",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN197686",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN197686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GATTIE",
            "middle_name": "DANIELLE",
            "credential": "CPNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Four Corners Testing LLC
• Regan Joy Frake, M.D.
• Tieara Freeman, MS
• Fresenius Medical Care Locust Grove, LLC (Fresenius Kidney Care Locust Grove)
• Ga Gastro LLC
• Georgia Dental Professionals, PC (Indian Creek Dental Care)
• Georgia Primary Care Partners, LLC
• Georgia Psych Services LLC
• Georgia Wellness Services LLC
• Gerizim Health Solutions LLC.

• Nurse Practitioner in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.