Individual provider Active NPI

Amanda Qualls Phillips

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1699163014
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1214564 Issued in AL
Practice address
22454 US Highway 72 Ste 330
Athens, AL 35613-2678
Phone
(256) 262-6380
Fax
(256) 262-6384
NPI assigned
Jan 7, 2015
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1214564 AL Primary

Addresses

Primary practice location

22454 US Highway 72 Ste 330
Athens, AL 35613-2678

Mailing address

22454 US Highway 72 Ste 330
Athens, AL 35613-2678
Phone (256) 262-6380

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150326001556 AL Practitioner - Nurse Practitioner 2860719002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Internal MedicineGroup PAC ID 8022300409, 5 clinicians

Practice addresses (Care Compare)

22454 US Hwy 72
Suite 330
Athens, AL 35613-2609
Phone (256) 262-6380

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1214564ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Limestone Nephrology Associates CurrentSince Jul 23, 2023 Accepting new patients
Valley Internal Medicine CurrentSince Dec 25, 2019 Accepting new patients
Decatur Morgan Hospitalist Group Past Accepting new patients

Locations

1005 W Market St
Ste 16
Athens, AL 35611
Phone (202) 232-0801

22454 US Highway 72
Ste 330
Athens, AL 35613
Phone (256) 262-6380

Organizations & group practices 3

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 4

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1699163014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22454 US HIGHWAY 72 STE 330",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132678",
            "telephone_number": "256-262-6380",
            "fax_number": "256-262-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22454 US HIGHWAY 72 STE 330",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132678",
            "telephone_number": "256-262-6380",
            "fax_number": "256-262-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMANDA",
        "middle_name": "QUALLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F1214564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.