Look up the most recent NPI and PECOS records

Amanda Smith Nelson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

11340 Lakefield Dr Ste 200, Johns Creek, GA 30097-2456

PECOS Enrollment

This provider is enrolled in PECOS as AMANDA NELSON.

Based on the most recent information from CMS, provider Amanda Smith Nelson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:24 AM.

Profile Details

Provider ID
1841926557
Provider Type
Individual
Full Name
Nelson, Amanda Smith
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/26/2022
Last Updated
7/26/2022

Contact Information

Practice Location

11340 Lakefield Dr Ste 200, Johns Creek, GA 30097-2456

(800) 275-3243

(973) 780-4300

Mailing Location

PO Box 402, Reynolds, GA 31076-0402

(229) 869-5807

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN258458 Georgia

Amanda Smith Nelson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Page, Joy

Chun, Michelle

Caulley, Kelly D

Kim, Reo Jin

Piecoro, Anna

Octavien, Linda

An, Sung Hee

Calloway, Nancy

Campbell, Simone Yolanda

Cason, Ashley Renee