Individual provider Active NPI

Amanda M Coleman, PA-C

  • Physician Assistant
  • Albany, GA
National Provider Identifier
1972249613
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1712 E Broad Ave
Albany, GA 31705-2699
Phone
(229) 639-3103
Fax
(229) 584-5985
NPI assigned
May 6, 2022
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1712 E Broad Ave
Albany, GA 31705-2699

Mailing address

1712 E Broad Ave
Albany, GA 31705-2699
Phone (229) 639-3103

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
I20220520001168 GA Practitioner - Physician Assistant 8224415823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians

Practice addresses (Care Compare)

100 Mimosa Dr
Thomasville, GA 31792-6676
Phone (229) 228-5500

1305 E 2ND Ave
Albany, GA 31705-1315
Phone (229) 405-6189

1700 Cordell Ave
Albany, GA 31705-1497
Phone (229) 431-1201

1712 A E Broad Ave
Albany, GA 31705-2611
Phone (229) 639-3100

1712 E Broad Ave
Suite C
Albany, GA 31705-2611
Phone (229) 639-3103

2001 Leonard Ave
Albany, GA 31705-2341
Phone (229) 435-9934

2202 E Oglethorpe Blvd
Albany, GA 31705-2940
Phone (229) 431-1423

2600 Radium Springs Rd
Albany, GA 31705-4618
Phone (229) 394-4719

512 Liberty Expy SE
Albany, GA 31705-5958
Phone (229) 501-2055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10991GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince Jan 5, 2026 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Archbold Medical Group, Inc. CurrentSince May 15, 2022 Accepting new patients
Archbold Medical Group, Inc. CurrentSince May 15, 2022 Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

1712 E Broad Ave
Albany, GA 31705
Phone (229) 639-3103

1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100

1712 E Broad Ave
Ste A
Albany, GA 31705
Phone (229) 405-6192

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

401 S Madison St
Albany, GA 31701
Phone (229) 405-6959

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 405-6249

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

327 Sunset Ave SW
#3
Newton, GA 39870
Phone (229) 734-5250

1309 W Screven St
Quitman, GA 31643
Phone (229) 263-6992

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

100 Mimosa Dr
Fl 2
Thomasville, GA 31792
Phone (229) 228-5500

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

1212 E Union St
Vienna, GA 31092
Phone (229) 268-8865

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.

Hospital & facility affiliations 5

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1972249613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 E BROAD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052699",
            "telephone_number": "229-639-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 E BROAD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052699",
            "telephone_number": "229-639-3103",
            "fax_number": "229-584-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.