Individual provider Active NPI

Amanda Lynn McElheney

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1922664754
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN224305 Issued in GA
Practice address
1997 Cheatham Woods Dr SW
Marietta, GA 30008-4451
Phone
(678) 234-1570
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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 RN224305 GA Primary

Addresses

Primary practice location

1997 Cheatham Woods Dr SW
Marietta, GA 30008-4451

Mailing address

1997 Cheatham Woods Dr SW
Marietta, GA 30008-4451

Other practice location 1

18 Riverbend Dr SW Ste 100
Rome, GA 30161-6019
Phone (706) 314-1900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624000727 GA Practitioner - Nurse Practitioner 8729312897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Spine and Rehab Specialists of GaGroup PAC ID 6002700960, 7 clinicians

Practice addresses (Care Compare)

18 Riverbend Dr SW
Suite 100
Rome, GA 30161-6019
Phone (706) 314-1900

Hospital & facility affiliations

  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN224305GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jun 3, 2019 Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jun 3, 2019 Accepting new patients

Locations

790 Church St NE
Ste 550
Marietta, GA 30060
Phone (770) 419-9902

18 Riverbend Dr SW
Ste 100
Rome, GA 30161
Phone (706) 290-9999

5730 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 816-3000

Organizations & group practices 2

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1922664754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 CHEATHAM WOODS DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300084451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 CHEATHAM WOODS DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300084451",
            "telephone_number": "678-234-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Riverbend Dr SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301616019",
            "country_code": "US",
            "telephone_number": "706-314-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELHENEY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN224305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.