Amanda Chambers Ingram, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN216149 Issued in GA

Practice address

304 Shorter Ave NW Ste 105
Rome, GA 30165-4256

Phone

(706) 290-9606

NPI assigned

Jun 23, 2018

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

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Hospitalists Group, LLCGroup PAC ID 0840434866, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Floyd Polk Medical Center Hospital, Cedartown, GA, CCN 111330
• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Riverdale, GA
  • NPI 1033576376

  GA

  Medicare reassignment Care Compare group NPD
• Etowah Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Rome, GA
  • NPI 1962944900

  GA

  Medicare reassignment NPD
• Floyd Healthcare Management Inc

  • Family Medicine Physician
  • Rome, GA
  • NPI 1689610149

  GA

  Medicare reassignment NPD
• Etowah Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Cedartown, GA
  • NPI 1306388343
  NPD
• Floyd Healthcare Management Inc

  • Specialty Pharmacy
  • Rome, GA
  • NPI 1548056468
  NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Griffin, GA
  • NPI 1063859692
  NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Cedartown, GA
  • NPI 1477099588
  NPD

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

• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166

  Hospital

  Care Compare affiliation
• Polk Medical Center, Inc

  • Critical Access Hospital
  • Cedartown, GA
  • NPI 1073927117

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1558856401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 LAKE CREEK RD",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301254460",
            "telephone_number": "706-346-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SHORTER AVE NW STE 105",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654256",
            "telephone_number": "706-290-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "AMANDA",
        "middle_name": "CHAMBERS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN216149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imagine Pediatrics PC
• Immediate Care of Rome #1, LLC
• Independent Physical Therapy of Georgia, LLC
• Independent Physical Therapy of Georgia, LLC
• Infinity Children'S Services, Inc.
• Innovmd LLC
• Integra Anesthesia Associates LLC
• Margaret Louise Isaacs, CCC/SLP
• Michael Isley, MD
• Oluwagbemisola Francisca Israel, MD

• All providers in Rome, GA
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.