Active NPI
Amanda Simone Adams, DDS
- Dentist
- McDonough, GA
National Provider Identifier
1780425843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123955
- Practice address
- 1867 Jonesboro Rd
McDonough, GA 30253-6099 - Phone
- (678) 432-0209
- NPI assigned
- Jun 3, 2024
- Last updated
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-10423 | IA | |
| Dentist | 122300000X | DN30947 | FL | |
| Dentist | 122300000X | DN123955 | GA | Primary |
Addresses
Primary practice location
1867 Jonesboro Rd
McDonough, GA 30253-6099
Mailing address
6551 SW County Road 242
Lake City, FL 32024-4425
Phone (386) 965-3250
Other practice location 1
126 N 10th St
Fort Dodge, IA 50501-3915
Phone (515) 576-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30947 | FL | MD | Dentist |
| DN123955 | GA | MD | Dentist |
| DDS-10423 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1780425843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 SW COUNTY ROAD 242",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320244425",
"telephone_number": "386-965-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 JONESBORO RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536099",
"telephone_number": "678-432-0209"
}
],
"practiceLocations": [
{
"address_1": "126 N 10th St",
"address_purpose": "LOCATION",
"city": "Fort Dodge",
"state": "IA",
"postal_code": "505013915",
"country_code": "US",
"telephone_number": "515-576-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "AMANDA",
"middle_name": "SIMONE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-10423",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30947",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.