Individual provider Active NPI

Amanda Cunningham, MSN, FNP-BC

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1902303514
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN209077 Issued in GA
Practice address
330 Hawthorne LN
Athens, GA 30606-2152
Phone
(706) 613-8500
Fax
(706) 613-8844
NPI assigned
Apr 10, 2018
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN209077 GA Primary

Addresses

Primary practice location

330 Hawthorne LN
Athens, GA 30606-2152

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other names 1

  • Amanda Leigh Lassig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210209001163 TN Practitioner - Nurse Practitioner 1658786496 Reassigns benefits to 1 organization
I20250506000072 GA Practitioner - Nurse Practitioner 1658786496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

330 Hawthorne LN
Athens, GA 30606-2152
Phone (706) 613-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN209077GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Allergy Partners, PLLC Past Accepting new patients

Locations

330 Hawthorne Ln
Athens, GA 30606
Phone (706) 546-8518

1020 Twelve Oaks Pl
Ste A
Watkinsville, GA 30677
Phone (706) 613-8500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1902303514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062152",
            "telephone_number": "706-613-8500",
            "fax_number": "706-613-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "AMANDA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN209077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LASSIG",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.