Amanda Simone Adams, DDS
Individual provider Active NPI Dentist · McDonough, GA
NPI 1780425843 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1780425843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN123955 (GA)
- Practice address
- 1867 Jonesboro Rd
McDonough, GA 30253-6099 - Phone
- (678) 432-0209
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30947 | FL | MD | Dentist |
| DN123955 | GA | MD | Dentist |
| DDS-10423 | IA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-10423 | IA | |
| Dentist | 122300000X | DN30947 | FL | |
| Dentist | 122300000X | DN123955 | GA | Yes |
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
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.