Active NPI
Amanda M Coleman, PA-C
- Physician Assistant
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10991 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area Primary Health Care, Inc | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | 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.
-
dba East Albany Medical Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1780608992
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
dba Radium Springs Middle School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013709625
-
dba Archbold Pulmonary Medicine & Critical Care Services
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
dba South Albany Medical Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1023043692
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cairo, GA
- NPI 1013961507
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital
-
dba Archbold Memorial
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
dba John D. Archbold Memorial Hospital - Rehab
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.