AMANDA Y PELLERITO


Address: 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179
Phone: 7704222326

AMANDA Y PELLERITO (NPI# 1205355427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205355427
Entity Type Individual
Full Name AMANDA Y PELLERITO
Credential PA
Practice Address 61 Whitcher St Ne Ste 3110
Marietta
GA 30060-1179
Mailing Address 708 Stewart Cir Nw
Marietta
GA 30064-2170
Practice Telephone 7704222326
Practice Fax Number 7704227797
Mailing Telephone 7703782209
Enumeration Date 2017-09-19
Last Update Date 2019-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 61 WHITCHER ST NE STE 3110
City MARIETTA
State GA
Zip Code 30060-1179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770715559 Phillip V Parry Sr. Neurological Surgery 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 2009-08-13
1760035307 Adam Wesley Bomar Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2019-07-23
1598249211 Sarah Turner Blackstock Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2018-09-18
1013490069 Erin Alexandra Oweida Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2018-09-14
1760981104 Ryan Paul Johnson Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2018-02-12
1700242773 Erika Leigh Rademacher Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2016-01-06
1265813851 Katrina Joyce Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2015-06-09
1598150195 Kirby Bandoquillo Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2015-03-31
1427300193 Derek Ladon Baker Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 2012-10-05
1932411238 Amber Aubert Torres Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2010-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053928721 Lynn Xinhui Guan Physician Assistant 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 2020-09-28
1902416035 Courtney Taylor Warfel Physician Assistant 4561 Trickum Rd Ne, Marietta, GA 30066-1364 2020-08-04
1750914867 Julea Grace Radford Physician Assistant 2421 Shiloh Dr Sw, Marietta, GA 30064-4257 2020-02-17
1447880984 Madison Alice Dooley Physician Assistant 3084 Moss Stone Ln, Marietta, GA 30064-6415 2020-01-23
1538704820 Spencer David Wenzel Physician Assistant 919 Rosedale Dr, Marietta, GA 30066-5431 2019-11-11
1578044046 Michelle Han Physician Assistant 2520 Windy Hill Rd Se Ste 301, Marietta, GA 30067-8695 2018-08-23
1932624434 David Johann Hoover Physician Assistant 400 Matthew St Ste 208, Marietta, OH 45750-1656 2017-08-07
1174059877 Thomas Ryan Cooke Physician Assistant 2169 Freydale Rd Se, Marietta, GA 30067-7070 2017-05-02
1790168284 Alissa R. Mcgee Physician Assistant 790 Church Street, Suite 335, Marietta, GA 30060-7282 2015-07-02
1063832749 Patricia Chu Mulder Physician Assistant 2639 Morgan Lake Dr Ne, Marietta, GA 30066-5611 2014-04-22
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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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