Active NPI
Amanda McGahee, MD
- Pediatrics Physician
- Marietta, GA
National Provider Identifier
1831212737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- FM0789187
- Practice address
- 1121 Johnson Ferry Rd
Suite 220
Marietta, GA 30068-5425 - Phone
- (770) 977-0094
- Fax
- (770) 509-5177
- NPI assigned
- Apr 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | FM0789187 | GA | Primary |
Addresses
Primary practice location
1121 Johnson Ferry Rd
Suite 220
Marietta, GA 30068-5425
Mailing address
1121 Johnson Ferry Rd
Suite 220
Marietta, GA 30068-5425
Phone (770) 977-0094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45899944E | Medicaid | GA |
Other names 1
- Miss Amanda Callaway Miller
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FM0789187 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cobb Pediatrics and Adolescent Medicine, PC | Past | Accepting new patients |
Interoperability endpoints
- amcgahee60066@choa.gadirect.net
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.
-
- Pediatric Adolescent Medicine Physician
- Marietta, GA
- NPI 1841337896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1831212737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 JOHNSON FERRY RD",
"address_2": "SUITE 220",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685425",
"telephone_number": "770-977-0094",
"fax_number": "770-509-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 JOHNSON FERRY RD",
"address_2": "SUITE 220",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685425",
"telephone_number": "770-977-0094",
"fax_number": "770-509-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAHEE",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-08",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "FM0789187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45899944E",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MILLER",
"middle_name": "CALLAWAY",
"prefix": "MISS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.