Amy Kathryn Hartline, AGACNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN218459 Issued in GA

Practice address

11 Paddock LN
Rydal, GA 30171-1432

Phone

(770) 595-5570

NPI assigned

Oct 14, 2016

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

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

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shepherd Center, Inc.Group PAC ID 1052301777, 51 clinicians

Physiatry Consultants of Ga LLCGroup PAC ID 5698182616, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shepherd Center Long-term care hospital, Atlanta, GA, CCN 112003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Shepherd Center Inc

  • Long Term Care Hospital
  • Atlanta, GA
  • NPI 1043311715
  Medicare reassignment Care Compare group NPD
• Physiatry Consultants of Ga LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1609468248

  GA

  Medicare reassignment Care Compare group NPD
• Blue Ridge Hospice, Inc.

  • Community Based Hospice Care Agency
  • Canton, GA
  • NPI 1427641067
  Medicare reassignment NPD
• Physicians Spine and Rehab Specialists of Ga

  • Specialist
  • Sandy Springs, GA
  • NPI 1710946322
  Medicare reassignment NPD
• South Georgia Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1760669931
  Medicare reassignment NPD
• Physicians Spine and Rehab Specialists of Ga

  • Durable Medical Equipment & Medical Supplies
  • Calhoun, GA
  • NPI 1972209864
  NPD
• Truwell Healthcare Group Inc

  • Primary Care Nurse Practitioner
  • Woodstock, GA
  • NPI 1386451367
  NPD

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

• Shepherd Center Inc

  • Long Term Care Hospital
  • Atlanta, GA
  • NPI 1043311715

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1730630666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PADDOCK LN",
            "city": "RYDAL",
            "state": "GA",
            "postal_code": "301711432",
            "telephone_number": "770-595-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PADDOCK LN",
            "city": "RYDAL",
            "state": "GA",
            "postal_code": "301711432",
            "telephone_number": "770-595-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN218459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Faye Abel, LPCC
• Tylisaea Bonner, DSW, LCSW
• Leslie Bryant
• Comfort Counseling LLC
• Ashia James, PHD
• Isabelle Marie Lowrey
• Seedhouse Collective LLC
• Rachel Simone, LMFT
• Joseph Morgan Ward, PHARMD

• Adult Health Nurse Practitioner in Rydal, GA
• Providers in Rydal, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.