Amanda Wynne Atwood, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R871950 Issued in MS

Practice address

890 Lakeland Dr
Jackson, MS 39216-4644

Phone

(601) 200-3131

Fax

(601) 200-3109

NPI assigned

Aug 5, 2009

Last updated

Jul 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Flowood Pain Center, LLCGroup PAC ID 6901154293, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copiah County Medical Center Hospital, Hazlehurst, MS, CCN 251327
• King's Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Merit-based Incentive Payment System (MIPS)

Final score

82.91 of 100Reported as group

Quality

73.71

Promoting interoperability

97

Improvement activities

40

Cost

64.52

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Flowood Pain Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Flowood, MS
  • NPI 1356848014
  Medicare reassignment Care Compare group
• St Dominic Medical Associates LLC

  dba St Dominic Family Practice Brandon

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1548698608
  NPD (past)
• St. Dominic Medical Associates LLC

  dba St Dominic Family Practice Associates Gluckstadt

  • Family Medicine Physician
  • Madison, MS
  • NPI 1245393255
  NPD (past)

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

• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1588667281
  Care Compare affiliation
• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1942431200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-3131",
            "fax_number": "601-200-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164644",
            "telephone_number": "601-200-3131",
            "fax_number": "601-200-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Treetops Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392327612",
            "country_code": "US",
            "telephone_number": "601-200-3131",
            "fax_number": "601-200-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1297 W Government St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423048",
            "country_code": "US",
            "telephone_number": "601-200-4790",
            "fax_number": "601-200-4855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 Calhoun Station Pkwy",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391105537",
            "country_code": "US",
            "telephone_number": "601-200-4321",
            "fax_number": "601-859-0159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 River Oaks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329564",
            "country_code": "US",
            "telephone_number": "601-200-4760",
            "fax_number": "601-200-4742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Clinton Pkwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390565227",
            "country_code": "US",
            "telephone_number": "601-200-4800",
            "fax_number": "601-200-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "AMANDA",
        "middle_name": "WYNNE",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ST DOMINIC",
            "identifier": "302I501683",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05280758",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01198583",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Atkinson, LPC
• Vanessa Y Atkinson, RPT
• Atlascare ABA Ms LLC
• Roya Attar, O.D
• Nobel Dzorgbenyah Attipoe, MD
• Virgil Isaac Aultman, MD
• Hallie Austin
• James B Austin, PH.D.
• Jamie M Austin, OTR/L
• Louise Austin

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.