MRS. AMANDA EANES PISCIOTTA (NPI# 1558603811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558603811 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA EANES PISCIOTTA |
| Credential | PA |
| Practice Address |
1180 Resurgence Dr Suite 100 Watkinsville GA 30677-7210 |
| Practice Telephone | 7065435858 |
| Practice Fax Number | 7065432050 |
| Mailing Telephone | 7065435858 |
| Mailing Fax Number | 7065432050 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1180 RESURGENCE DR SUITE 100 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215973482 | Ross M Campbell | Dermatology | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2006-06-22 |
| 1679930648 | Christopher K Brune | Physician Assistant | 1180 Resurgence Dr, Ste 100, Watkinsville, GA 30677-7211 | 2016-01-21 |
| 1164746236 | Laura Ragan Phillips | Physician Assistant | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2010-03-18 |
| 1891960696 | Kristen Ann Thomas | Dermatology | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2008-04-23 |
| 1912103888 | Ashmita Jayaram Shah | Dentist | 1180 Resurgence Dr, Suite 300, Watkinsville, GA 30677-7210 | 2007-06-26 |
| 1063426534 | Jessica Hope Cook | Physician Assistant | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| 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 |
|---|---|---|---|---|
| 1841573805 | Bobby Chad Kellett | Physician Assistant | 2061 Experiment Station Rd # 505, Watkinsville, GA 30677 | 2011-09-26 |
| 1902460603 | Joseph Hwang | Physician Assistant | 2061 Experiment Station Rd # 505, Watkinsville, GA 30677-5328 | 2019-04-28 |
| 1508316035 | Morgan Kammer Rains | Physician Assistant | 1050 Thomas Ave, Watkinsville, GA 30677-6071 | 2016-10-07 |
| 1841572518 | John Gabriel Walker | Physician Assistant | 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 | 2011-09-19 |
| 1538488168 | Erin Marie Reiter | Physician Assistant | 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 | 2010-05-21 |
| 1164746236 | Laura Ragan Phillips | Physician Assistant | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2010-03-18 |
| 1871730838 | Darin J. Cooper | Physician Assistant | 1050 Thomas Ave, Watkinsville, GA 30677-6071 | 2009-01-13 |
| 1750445300 | Mary Alice Gallant | Physician Assistant | 2061 Experiment Station Rd, Watkinsville, GA 30677 | 2006-12-20 |
| 1558432211 | Holli Leigh Paulk | Physician Assistant | 1360 Caduceus Way, Building 300 Ste 101, Watkinsville, GA 30677-7300 | 2006-11-13 |
| 1639154040 | Scott A Martin | Physician Assistant | 1550 Mars Hill Rd, Watkinsville, GA 30677-4836 | 2005-12-08 |
| Find all providers in WATKINSVILLE | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
Please comment or provide details below to improve the information on MRS. AMANDA EANES PISCIOTTA.
| 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.