Amy Prall

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2000009290 Issued in GA

Practice address

590 Cobb Ave NW # 0201
Kennesaw, GA 30144-5563

Phone

(470) 578-6487

NPI assigned

May 1, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1861013773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 ROYAL REGENCY CIR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COBB AVE NW # 0201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445563",
            "telephone_number": "470-578-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRALL",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "2000009290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derwin Powell, RN
• Kinsey M Powell, M.A. CCC-SLP
• Kimberly Powers
• Mauro Pradella
• Fabricia Prado
• Richard Brian Prater, PA
• Nerissa Marie Pratt, MS, LMHC, LPC
• Preimer Neurosurgical Institute
• Premium Lace Front Wigs
• Crystal Hayes Prempeh, D.D.S, MPH

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.