Amanda Fortner Mitchell, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA1328 Issued in AL

Practice address

1303 Gault Ave N Ste IV
Fort Payne, AL 35967-3104

Phone

(256) 273-5320

Fax

(256) 273-5320

NPI assigned

Jan 26, 2018

Last updated

Jan 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Merit-based Incentive Payment System (MIPS)

Final score

95.61 of 100Reported as group

Quality

83.5

Improvement activities

40

Cost

77.51

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.

• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1891031894
  Medicare reassignment
• Northeast Orthopedic Clinic PC

  • Orthopaedic Surgery Physician
  • Gadsden, AL
  • NPI 1699785790
  Medicare reassignment
• Urgent Care of Alabama LLC

  • Urgent Care Clinic/Center
  • Gardendale, AL
  • NPI 1962840728
  Medicare reassignment
• The Orthopedic Centers

  dba Northeast Orthopedics

  • Orthopaedic Surgery Physician
  • Rainbow City, AL
  • NPI 1043262124
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1629576483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 GAULT AVE N STE IV",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673104",
            "telephone_number": "256-273-5320",
            "fax_number": "256-273-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GAULT AVE N STE IV",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673104",
            "telephone_number": "256-273-5320",
            "fax_number": "256-273-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMANDA",
        "middle_name": "FORTNER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA1328",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA1328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Miller
• Robert Charles Mills, MD
• Daniel Martin Mince, MD
• Mind Right, LLC
• Alexis Diane Mitchell, CRNP
• Lynna Morton
• Tonya Leigh Moses, CRNP
• Angela W Murphy, DPM
• Ashley Elizabeth Nance, PHARMD, MPH
• Carey Joseph Nease, MD

• Surgical Physician Assistant in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.