Amanda Shianne Thompson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105932 Issued in FL

Practice address

9961 E County Highway 30a
Ste 5
Panama City Beach, FL 32461-7282

Phone

(850) 231-9286

Fax

(850) 231-9286

NPI assigned

Oct 25, 2007

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

Medicare fee-for-service enrollment

Enrolled in FL

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coastal Family Practice and Acute Care Center LLCGroup PAC ID 3678603545, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Coastal Family Practice & Acute Care Center LLC

  • Primary Care Clinic/Center
  • Panama City Beach, FL
  • NPI 1639223886
  Medicare reassignment Care Compare group

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

• Ascension Sacred Heart Emerald Coast

  • General Acute Care Hospital
  • Miramar Beach, FL
  • NPI 1558391771
  Care Compare affiliation

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1649459736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 E COUNTY HIGHWAY 30A",
            "address_2": "STE 5",
            "city": "SEACREST",
            "state": "FL",
            "postal_code": "324617282",
            "telephone_number": "850-231-9286",
            "fax_number": "850-231-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 E COUNTY HIGHWAY 30A",
            "address_2": "STE 5",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324617282",
            "telephone_number": "850-231-9286",
            "fax_number": "850-231-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMANDA",
        "middle_name": "SHIANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001001125",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Sobriety Center LLC
• The Work Studies Institute,LLC
• Ashley P Theobald, PA-C
• Therapeutic Outcomes, LLC
• Donald Wayne Thomas, PA
• Emmitt Michael Thompson, M.D.
• Lee Adam Thompson, L. M. T.
• Amanda C Thorburn
• Claire Joy Tiglao, APRN, PMHNP
• Sarah Tilley, M.A., NCC, LMHC

• Physician Assistant in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Physician Assistant in Florida

• 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.
• 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.