National Provider Identifier Database

AMANDA S PIPKIN, PA – NPI #1841464732
Surgical


Contact Information

AMANDA S PIPKIN, PA
247 ADAMS DRIVE
DEMOREST, GA30535
Phone: 706-839-4096
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X
Medical 363AM0700X

* Indicates primary specialty

NPI Profile & details for AMANDA S PIPKIN

NPI Number 1841464732
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/22/2008
Last updated 12/12/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • GA License #: 1715
  • GA License #: 5323
  • GA Medicaid: 602701555B
  • GA Medicaid: 602701555C
  • GA Medicaid: 602701555D
  • GA Medicaid: 602701555E
  • GA Other: 01457792 AMERIGROUP
  • GA Other: 610308 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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