Active NPI
Amanda Leanne Kent
- Pediatric Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1982301057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN-NP286497
- Practice address
- 1405 Clifton Rd NE
Atlanta, GA 30322-1060 - Phone
- (404) 785-6422
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN286497 | GA | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | RN286497 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN-NP286497 | GA | Primary |
Addresses
Primary practice location
1405 Clifton Rd NE
Atlanta, GA 30322-1060
Mailing address
3411 Durden Dr NE Unit 9101
Brookhaven, GA 30319-2237
Phone (404) 718-9882
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP286497 | GA | MD | Pediatric Nurse Practitioner |
| RN286497 | GA | MD | Critical Care Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Multispecialty, LLC | Single Specialty | Current | Accepting new patients |
| Choa Hospital Based, LLC | Single Specialty | Current | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764460800000",
"number": "1982301057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 DURDEN DR NE UNIT 9101",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192237",
"telephone_number": "404-718-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221060",
"telephone_number": "404-785-6422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "AMANDA",
"middle_name": "LEANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2025-11-30",
"certification_date": "2025-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN286497",
"primary": false
},
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "GA",
"license": "RN286497",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "APRN-NP286497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.