Individual provider Active NPI

Amanda Miller, FNP

  • Nurse Practitioner
  • Kathleen, GA
National Provider Identifier
1659185288
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN299266 Issued in GA
Practice address
502 Southern Woods TRL
Kathleen, GA 31047-2931
Phone
(478) 662-3907
NPI assigned
Feb 4, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN299266 GA
Nurse Practitioner 363L00000X RN299266 GA Primary

Addresses

Primary practice location

502 Southern Woods TRL
Kathleen, GA 31047-2931

Mailing address

502 Southern Woods TRL
Kathleen, GA 31047-2931
Phone (478) 662-3907

Other identifiers 1

IdentifierTypeStateIssuer
RN299266OtherGAAMERICAN ACADEMY NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250915000500 GA Practitioner - Nurse Practitioner 7911400957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassus Op of Georgia II LLCGroup PAC ID 8123303344, 3 clinicians

Practice addresses (Care Compare)

1100 Northside Xing
Macon, GA 31210-2280
Phone (478) 321-9071

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN299266GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassus Op of Georgia II LLC CurrentSince Jun 23, 2025 Accepting new patients
Compassus Op of Georgia II LLC PastSince Jun 23, 2025 Accepting new patients

Locations

1100 Northside Xing
Macon, GA 31210
Phone (478) 321-9071

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1659185288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SOUTHERN WOODS TRL",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472931",
            "telephone_number": "478-662-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SOUTHERN WOODS TRL",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472931",
            "telephone_number": "478-662-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN299266",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN299266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY NURSE PRACTITIONER",
            "identifier": "RN299266",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

Verify at the official NPI Registry.