Individual provider Active NPI

Amy Garrett Nowlin, PA

  • Physician Assistant
  • Opelika, AL
National Provider Identifier
1922409804
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1415 Issued in AL
Practice address
1965 1St Ave
Opelika, AL 36801
Phone
(334) 705-0012
Fax
(334) 705-0378
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X GA
Physician Assistant 363A00000X 1415 AL Primary

Addresses

Primary practice location

1965 1St Ave
Opelika, AL 36801

Mailing address

1965 1St Ave
Opelika, AL 36801-5403
Phone (334) 705-0012

Other practice location 1

3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005-4414
Phone (770) 442-1911

Other names 1

  • Amy Garrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190416002647 AL Practitioner - Physician Assistant 8022334911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Ear, Nose, and Throat, PCGroup PAC ID 0749217776, 10 clinicians

Practice addresses (Care Compare)

1965 1St Ave
Opelika, AL 36801-5403
Phone (334) 705-0012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1415ALMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: anowlin@eaent.emadirect.md

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1922409804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 1ST AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015403",
            "telephone_number": "334-705-0012",
            "fax_number": "334-705-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 1ST AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "36801",
            "telephone_number": "334-705-0012",
            "fax_number": "334-705-0378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy Ste C270",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054414",
            "country_code": "US",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "AMY",
        "middle_name": "GARRETT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GARRETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.