AMANDA FORTNER MITCHELL (NPI# 1629576483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629576483 |
| Entity Type | Individual |
| Full Name | AMANDA FORTNER MITCHELL |
| Credential | PA-C |
| Practice Address |
507 S 4th St Gadsden AL 35901-5216 |
| Practice Telephone | 2565477417 |
| Practice Fax Number | 2565477414 |
| Mailing Telephone | 2565477417 |
| Mailing Fax Number | 8882073468 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | AL | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1328 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 220540 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1015 Medical Center Pkwy, Selma, AL 367016748 | 3344184150 | |
| 305 Paul W Bryant Dr E, Tuscaloosa, AL 354012055 | 2053450192 | 2054644507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144773763 | Amanda Mitchell | Specialist/Technologist | 145 Sherri Ln, Oceanside, CA 92054-5326 | 2016-07-31 |
| 1205218351 | Amanda Mitchell | Specialist | 112 Pleasant St, Canastota, NY 13032-1418 | 2015-06-25 |
| 1457757387 | Amanda Mitchell | Counselor | 3806 W Irving Park Rd # Store, Chicago, IL 60618-3139 | 2014-11-04 |
| 1730415803 | Amanda Lynn Mitchell | Registered Nurse | 5457 Oak Grove Rd, Red Boiling Springs, TN 37150-3743 | 2009-10-26 |
| 1356941371 | Amanda R Mitchell | Physical Therapist | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2020-10-28 |
| 1215566484 | Amanda Lynnette Mitchell | Occupational Therapy Assistant | 13137 N Clio Rd, Clio, MI 48420-1028 | 2020-04-08 |
| 1255964698 | Amanda Marie Mitchell | Nurse Practitioner | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-02-13 |
| 1689219305 | Amanda Mitchell | Social Worker | 512 Veterans Memorial Hwy, Scottsville, KY 42164-8443 | 2019-11-18 |
| 1013565209 | Amanda Sue Mitchell | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2019-08-30 |
| 1144875501 | Amanda Parker Mitchell | Nurse Practitioner | 913 E Arlington Blvd, Greenville, NC 27858-5864 | 2019-08-02 |
| Street Address |
507 S 4TH ST |
| City | GADSDEN |
| State | AL |
| Zip Code | 35901-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274507 | Clinton Segrest | Physical Therapist | 507 S 4th St, Gadsden, AL 35901-5216 | 2005-06-09 |
| 1700425329 | Carrie Robertson Gamble | Physician Assistant | 507 S 4th St, Gadsden, AL 35901-5216 | 2019-12-30 |
| 1851865687 | Tabitha Ashley Abernathy | Physician Assistant | 507 S 4th St, Gadsden, AL 35901-5216 | 2019-01-15 |
| 1033664453 | Lindsey Paulson | Physical Therapist | 507 S 4th St, Gadsden, AL 35901-5216 | 2016-08-16 |
| 1922443225 | Neo Pt Inc. | Clinic/Center | 507 S 4th St, Gadsden, AL 35901-5216 | 2013-05-01 |
| 1740525039 | Whitney B Hall | Physical Therapist | 507 S 4th St, Gadsden, AL 35901-5216 | 2012-11-28 |
| 1134488174 | Ginger Gladden Medders | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901-5216 | 2012-05-11 |
| 1235454844 | Adam Franklin Shaw | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901-5216 | 2010-04-07 |
| 1649405465 | Brian Wesley Haskins | Physical Therapist | 507 S 4th St, Gadsden, AL 35901-5216 | 2009-05-22 |
| 1699785790 | Northeast Orthopedic Clinic PC | Orthopaedic Surgery | 507 S 4th St, Gadsden, AL 35901-5216 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
| 1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
| 1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
| 1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
| 1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
| 1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
| 1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| Find all providers in zip 35901 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425329 | Carrie Robertson Gamble | Physician Assistant | 507 S 4th St, Gadsden, AL 35901-5216 | 2019-12-30 |
| 1083818751 | Stephen Michael Entrekin | Physician Assistant | 815 Riverbend Dr, Gadsden, AL 35901-2556 | 2007-06-14 |
| 1467478412 | Jamie Martin Ryan | Physician Assistant | 507 S 4th St, Gadsden, AL 35901 | 2006-07-14 |
| 1659304079 | James Todd Tumlin | Physician Assistant | 507 S 4th St, Gadsden, AL 35901 | 2006-07-09 |
| 1730140294 | Joseph E Watters | Physician Assistant | 100 Medical Center Dr, Suite 205, Gadsden, AL 35903-1134 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771183 | Sarah Elizabeth Sloop | Physician Assistant | 4300 W Main St Ste 24, Dothan, AL 36305-1312 | 2018-12-16 |
| 1053887885 | Rachel B Rigsby | Physician Assistant | 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 | 2018-10-19 |
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1255815908 | Cora Kuhns | Physician Assistant | 6401 Jordan Rd Suite A, Daphne, AL 36526-4728 | 2018-09-19 |
| 1396282026 | Travis Blackburn | Physician Assistant | 200 Montgomery Hwy Ste 125, Vestavia, AL 35216-1840 | 2017-01-19 |
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1255738605 | James Cilimberg | Physician Assistant | 2871 Acton Rd, Suite 100, Vestavia, AL 35243-2559 | 2014-12-01 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1740583780 | University Orthopaedic Clinic, PC | Physician Assistant | 1732 Temple Ave N, Fayette, AL 35555-1321 | 2010-12-14 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
| Find all providers with the same taxonomy | ||||
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| 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.