Individual provider Active NPI

Amanda D Marler, CNM

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1992457964
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
210692 Issued in GA
Practice address
1062 Forsyth St Ste 3B
Macon, GA 31201-8640
Phone
(478) 743-3454
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 210692 GA Primary

Addresses

Primary practice location

1062 Forsyth St Ste 3B
Macon, GA 31201-8640

Mailing address

1062 Forsyth St Ste 3B
Macon, GA 31201-8640
Phone (478) 743-3454

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Maconobgyn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
210692GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Schuessler, Pope, Kehl, Barnes & Durso II LLC Obstetrics & Gynecology PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1992457964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 3B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018640",
            "telephone_number": "478-743-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 3B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018640",
            "telephone_number": "478-743-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "210692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Maconobgyn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1062 Forsyth St Ste 3B",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312018640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.