AMANDA GAYLE DICKEY (NPI# 1295381069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295381069 |
| Entity Type | Individual |
| Full Name | AMANDA GAYLE DICKEY |
| Practice Address |
444 Nc Hwy 108 Rutherfordton NC 28139-7871 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8282862302 |
| Practice Fax Number | 8282874320 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-10421 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256236 | Amanda L Dickey | Student in an Organized Health Care Education/Training Program | 555 N Starcrest Dr Apt B33, Salt Lake City, UT 84116-2485 | 2019-07-16 |
| 1851867931 | Amanda Ezell Dickey | Counselor | 1208 Rucker Blvd Ste G, Enterprise, AL 36330-3649 | 2018-10-16 |
| 1477943801 | Amanda Marie Dickey | Nurse Practitioner | 21785 Filigree Ct Ste 100, Ashburn, VA 20147-6214 | 2015-01-22 |
| Street Address |
444 NC HWY 108 |
| City | RUTHERFORDTON |
| State | NC |
| Zip Code | 28139-7871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639218100 | Joann A. Heron | Physician Assistant | 444 Nc Hwy 108, Rutherfordton, NC 28139-7871 | 2007-02-05 |
| 1699125070 | Megan Moore Bumgarner | Nurse Practitioner | 444 Nc Hwy 108, Rutherfordton, NC 28139-7871 | 2016-06-16 |
| 1104020288 | James Donald Grist | Family Medicine | 444 Nc Hwy 108, Rutherfordton, NC 28139-2406 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821428269 | Onas Place 1 | Day Training, Developmentally Disabled Services | 127 Gabriel Street, Rutherfordton, NC 28139 | 2013-11-21 |
| 1821297821 | H. Vanderwal Inc. | Assisted Living Facility | 401 Us 221 S Hwy, Rutherfordton, NC 28139 | 2007-07-11 |
| 1013034974 | Jay R Mee | Massage Therapist | 244 Charlotte Road, Rutherfordton, NC 28139 | 2007-03-24 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1194833855 | Rutherford Anesthesiology Associates, LLP | Anesthesiology | 288 S. Ridgecrest Avenue, Rutherfordton, NC 28139 | 2006-08-25 |
| 1316983745 | Thomas Vance Bolling | Surgery | 330 Nc Highway 108, Rutherfordton, NC 28139 | 2006-06-22 |
| 1265481865 | Kenneth Glen Miller-kallenbach | Psychiatry & Neurology | 182 West Court St, Rutherfordton, NC 28139 | 2006-05-09 |
| 1982674966 | Franklin James Mooring | Radiology | 288 South Ridgecrest, Rutherfordton, NC 28139 | 2006-01-24 |
| 1346578580 | Mission Medical Associates Inc | Internal Medicine | 128 Dr Henry Norris Dr, Rutherfordton, NC 28139 | 2009-11-30 |
| 1497907497 | Sydna Elizabeth Bougere | Counselor | 356 Charlotte Rd, Rutherfordton, NC 28139 | 2008-10-21 |
| Find all providers in zip 28139 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326603515 | Zachary John Fowler | Physician Assistant | 141 Laurel Hill Dr Ste 3, Rutherfordton, NC 28139-3320 | 2019-05-03 |
| 1487198925 | Jordan Lee Gallimore Saladino | Physician Assistant | 288 S Ridgecrest St, Rutherfordton, NC 28139-2838 | 2016-12-16 |
| 1811260300 | Katherine Brevard | Physician Assistant | 2885 Ridgecrest Ave, Rutherfordton, NC 28139-3097 | 2012-02-15 |
| 1639218100 | Joann A. Heron | Physician Assistant | 444 Nc Hwy 108, Rutherfordton, NC 28139-7871 | 2007-02-05 |
| 1679005615 | Lauren Ashton Carnes | Physician Assistant | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2017-03-29 |
| 1497294854 | Emma Katelin Crill | Physician Assistant | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2017-02-18 |
| 1841593647 | Rutherford Emergency Group LLC | Physician Assistant | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2010-12-16 |
| 1225227440 | Tina Marie A Hill | Physician Assistant | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2007-10-24 |
| 1245437094 | Keith Todd Hill | Physician Assistant | 139 Doctor Henry Norris Dr, Rutherfordton, NC 28139-2838 | 2007-06-27 |
| 1881614881 | James B Ursin | Physician Assistant | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2006-07-20 |
| Find all providers in RUTHERFORDTON | ||||
| City | RUTHERFORDTON |
| Zip Code | 28139 |
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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.