Individual provider Active NPI

Amy Catherine York, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1811013832
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4995 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone
(404) 350-9853
Fax
(404) 350-8407
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4995 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922

Mailing address

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (404) 350-9853

Other practice location 1

1240 Eagles Landing Pkwy Ste 260
Stockbridge, GA 30281-5173
Phone (678) 854-9500

Other practice location 2

775 Poplar Rd Ste 310
Newnan, GA 30265-8303
Phone (770) 251-2590

Other practice location 3

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone (678) 829-1060

Other names 1

  • Amy Catherine Wadman Former name

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
I20070501000000 GA Practitioner - Physician Assistant 0143326744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Cancer Institute PCGroup PAC ID 9638167844, 43 clinicians

Practice addresses (Care Compare)

1240 Eagle Lndng Pkwy
Suite 260
Stockbridge, GA 30281-5173
Phone (678) 854-9500

1267 Hwy 54 W
Suite 4200
Fayetteville, GA 30214-2112
Phone (678) 829-1060

1800 Howell Mill Rd NW
Suite 800
Atlanta, GA 30318-0922
Phone (404) 350-9853

775 Poplar Rd
Suite 310
Newnan, GA 30265-8303
Phone (770) 251-2590

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4995GAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cancer Institute PC CurrentSince Feb 1, 2007 Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 775
Atlanta, GA 30318
Phone (404) 350-9853

1800 Howell Mill Rd NW
Ste 800
Atlanta, GA 30318
Phone (404) 350-9853

1267 Highway 54 W
Ste 4200
Fayetteville, GA 30214
Phone (678) 829-1060

775 Poplar Rd
Ste 310
Newnan, GA 30265
Phone (770) 251-2590

1240 Eagles Landing Pkwy
Ste 260
Stockbridge, GA 30281
Phone (678) 854-9500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1811013832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180922",
            "telephone_number": "404-350-9853",
            "fax_number": "404-477-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180922",
            "telephone_number": "404-350-9853",
            "fax_number": "404-350-8407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Eagles Landing Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815173",
            "country_code": "US",
            "telephone_number": "678-854-9500",
            "fax_number": "678-854-9502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Poplar Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658303",
            "country_code": "US",
            "telephone_number": "770-251-2590",
            "fax_number": "770-251-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1267 Highway 54 W Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142112",
            "country_code": "US",
            "telephone_number": "678-829-1060",
            "fax_number": "678-829-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "AMY",
        "middle_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WADMAN",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.