Individual provider Active NPI

Amardeep S Mann, MD

  • Family Medicine Physician
  • Perry, GA
National Provider Identifier
1902914591
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058282 Issued in GA
Practice address
1115 Morningside Dr
Perry, GA 31069-2905
Phone
(478) 988-3060
Fax
(478) 988-3098
NPI assigned
Aug 25, 2006
Last updated
Sep 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 058282 GA Primary

Addresses

Primary practice location

1115 Morningside Dr
Perry, GA 31069-2905

Mailing address

1115 Morningside Dr
Perry, GA 31069-2905
Phone (478) 988-3060

Other identifiers 2

IdentifierTypeStateIssuer
902441925BMedicaidGA
058282OtherGAMEDICAL LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000230 GA Practitioner - HospitalistPractitioner - Family Practice 8426055971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

755 Lawrenceville Suwanee Rd
Suite 1600
Lawrenceville, GA 30043-7345
Phone (770) 995-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058282GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Aug 1, 2022 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
American Current Care PA CurrentSince Aug 1, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Aug 18, 2023 Accepting new patients
Houston Hospitals Inc Current Accepting new patients
Inpatient Consultants of Georgia, Inc Past Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

755 Suwanee Rd
Ste 1600
Lawrenceville, GA 30043
Phone (770) 995-1500

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 6

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1902914591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-988-3060",
            "fax_number": "478-988-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-988-3060",
            "fax_number": "478-988-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "AMARDEEP",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902441925B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "058282",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.