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Amanda Kay Petty , FNP-BC

Nurse Practitioner β€’ Baxley, GA

Active NPI 1841130812 Individual Practitioner Female Practitioner
Practice location in NPPES

283 Walnut St
Baxley, GA 315130954

Call 8554734374 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

283 Walnut St

Baxley, GA 315130954

Telephone 8554734374

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baxley and Georgia

9 active clinicians are listed under Nurse Practitioner with a practice address in Baxley, GA (3,110 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA APRN-NP312903

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 06, 2026

Registered at 283 WALNUT ST, BAXLEY, GA 315130954 (Tel: 8554734374)

βœ…
NPI Profile Active March 30, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 30, 2026

Registered at 2917 STOVALL RD, ALMA, GA 315104013 (Tel: 9122884409)

πŸ“
Business Mailing Address (Initial Record) March 30, 2026

Registered at 2917 STOVALL RD, ALMA, GA 315104013 (Tel: 9122884409)

πŸ‘€
Provider Name / Credentials (Initial Record) March 30, 2026

Recorded as AMANDA PETTY, FNP-BC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2026

Nurse Practitioner (license number reported to NPPES: GA APRN-NP312903)

🟒
Initial NPI Registration & Enumeration March 30, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841130812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2026
Last Update: May 06, 2026
Sole Proprietor: Yes

Other Nurse Practitioners in Baxley

Mailing Address

2917 Stovall Rd

Alma, GA 315104013

Phone: 9122884409

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.