Mandy Kale Eichenlaub, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

830 King Ave
Athens, GA 30606-2838

Phone

(706) 425-2400

Fax

(706) 425-2410

NPI assigned

Jul 8, 2010

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

Other names 1

• Mandy Kale Former name

Electronic endpoints 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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Spine Center PCGroup PAC ID 1658388004, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.44 of 100Reported as group

Quality

88.87

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: meichenlaub@athensspinecenter.emadirect.md
• Direct secure messaging: mandyeichenlaub@asc.allscriptsdirect.net

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.

• Athens Spine Center PC

  • Pain Medicine Physician
  • Athens, GA
  • NPI 1053488189
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1578875480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400",
            "fax_number": "706-425-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400",
            "fax_number": "706-425-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENLAUB",
        "first_name": "MANDY",
        "middle_name": "KALE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003105741A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meichenlaub@athensspinecenter.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Mod Med Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "830 King Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306062838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "KALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Edusa, MD
• David L Edwards, M.D.
• Zavion Zavar Edwards, M.B.,B.S.
• Chinenye Egwuonwu, MD
• Priscilla E Egyir-Biney, MD
• Carolann Eisenhart, MD
• Komal Ejaz, M.D.
• Stephen Douglas Ekard, MHP
• Nader A El-Kareh
• Jafer Malik Jafer Elabeid, MD

• Physician Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.