AMANDA MASHAE EVANS


Address: 800 Kennesaw Ave Nw, Marietta, GA 30060-1051
Phone: 7704274032

AMANDA MASHAE EVANS (NPI# 1073757589) 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) 1073757589
Entity Type Individual
Full Name AMANDA MASHAE EVANS
Credential MD
Practice Address 800 Kennesaw Ave Nw
Marietta
GA 30060-1051
Mailing Address 800 Kennesaw Ave Nw Ste 200
Marietta
GA 30060-7940
Practice Telephone 7704274032
Mailing Telephone 7704274032
Enumeration Date 2009-04-28
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
68507 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1364 Clifton Rd Ne, Atlanta, GA 303221059 4047275658

Other Providers AMANDA EVANS

NPI Name Taxonomy Address Enumeration
1699376137 Amanda Gail Evans Technician 11 Happy Hl, Charleston, WV 25314 2020-11-02
1164032207 Amanda Elizabeth Evans Counselor 9432 W Ontario Dr, Littleton, CO 80128-4052 2020-08-04
1104443605 Amanda Leigh Evans Behavioral Analyst 116 Tepee Trl, Del Rio, TX 78840-2034 2020-06-30
1215587498 Amanda Evans Dietitian, Registered 09210 North Pointe Woods Drive, Charlevoix, MI 49720 2019-09-18
1699242545 Amanda Cook Evans Family Medicine 402 Bogle St Ste 2, Somerset, KY 42503-2870 2018-10-30
1922534932 Amanda Evans Licensed Practical Nurse 329 Heather St, Englewood, OH 45322-1217 2017-05-11
1942681465 Amanda Evans Registered Nurse 20111 Cedar Rd North, Sonor, CA 95370 2015-06-10
1770960155 Amanda Evans Counselor 365 Criswell Dr, Boiling Springs, PA 17007-9695 2015-05-05
1083037717 Amanda Evans Veterinarian 3748 10th St Ne, Washington, DC 20017-1820 2014-01-31
1871874461 Amanda Jean Evans Counselor 745 Craig Rd Ste 305, Creve Coeur, MO 63141 2011-09-08

Office Location

Street Address 800 KENNESAW AVE NW
City MARIETTA
State GA
Zip Code 30060-1051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679730501 Marietta Neonatology, P.C. Pediatrics 800 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-1051 2008-05-19
1346736030 Oasis Surgical Billing Company LLC Registered Nurse 800 Kennesaw Ave Nw, Marietta, GA 30060-1051 2018-07-05
1477097012 Hope Springs Wellness and Recovery Psychiatry & Neurology 800 Kennesaw Ave Nw, Suite 120, Marietta, GA 30060-1051 2016-12-16
1639563281 Jackie Lynn Schumaker Physician Assistant 800 Kennesaw Ave Nw, Marietta, GA 30060 2015-03-21
1184928160 Alb Healthcare, LLC Home Health 800 Kennesaw Ave Nw, Suite 220, Marietta, GA 30060-1051 2011-01-05
1164477139 Julia Elaine Casey Nurse Practitioner 800 Kennesaw Ave Nw, Marietta, GA 30060-1051 2006-05-24

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
Find all providers in zip 30060

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679730501 Marietta Neonatology, P.C. Pediatrics 800 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-1051 2008-05-19
1205874971 Emma D Casanova Pediatrics 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060 2006-06-03
1023059581 Brenda L Marino Pediatrics 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060 2006-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356762553 Edward D Conner Md PC Pediatrics 112 Gleneagles Cir, Macon, GA 31210-2943 2013-12-16
1962832444 Georgia Neonatology LLC Pediatrics 124 Bradford Dr, Macon, GA 31210-1267 2013-11-19
1124348826 Suneeti Gupta Pediatrics 5901 Peachtree Dunwoody Rd # C, Suite C 65, Atlanta, GA 30328-5382 2010-06-03
1225266745 Jack Gibson Gray Pediatrics 135 Tamerlane, Peachtree City, GA 30269-2700 2009-06-23
1184851008 Ima S Thompson Pediatrics 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 2009-06-18
1528201027 Sarita A. Patel Pediatrics 5901 Peachtree Dunwoody Rd, Suite B 420, Atlanta, GA 30328-5382 2009-04-13
1598959124 Danielle Cecelia Giliberti Kallmyer Pediatrics 1428 Markan Dr Ne, Atlanta, GA 30306-2305 2007-08-27
1477750818 Angela Marie Fagiana Pediatrics 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 2007-06-29
1710060256 William Ranson Laforce Pediatrics 315 Boulevard Ne Ste 500, Atlanta, GA 30312-1266 2006-10-20
1518047877 Heidi Eigenrauch Karpen Pediatrics Emory Childrens Center Neonatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322-1014 2006-10-17
Find all providers with the same taxonomy

Competitor

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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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