Amanda Erin Irene Wall, - Nurse Practitioner in Stockbridge, GA

Amanda Erin Irene Wall, is a Nurse Practitioner - Neonatal based in Stockbridge, Georgia. Amanda Erin Irene Wall is licensed to practice in Georgia (license number RN197245) and her current practice location is 1133 Eagles Landing Pkwy, Stockbridge, Georgia. She can be reached at her office (for appointments etc.) via phone at (800) 243-3839.

NPI number for Amanda Erin Irene Wall is 1477212629 and her current mailing address is 1133 Eagles Landing Pkwy, Stockbridge, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477212629.

Contact Information

Amanda Erin Irene Wall,
1133 Eagles Landing Pkwy,
Stockbridge, GA 30281-5085
(800) 243-3839
Not Available



Provider's Profile

Full NameAmanda Erin Irene Wall
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location1133 Eagles Landing Pkwy, Stockbridge, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477212629
  • Provider Enumeration Date: 12/15/2021
  • Last Update Date: 04/06/2022

Medical Identifiers

Medical identifiers for Amanda Erin Irene Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477212629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WN0002XRegistered Nurse - Neonatal Intensive Care RN197245 (Georgia)Secondary
363LN0000XNurse Practitioner - Neonatal RN197245 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Erin Irene Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Erin Irene Wall,
1133 Eagles Landing Pkwy,
Stockbridge, GA 30281-5085

Ph: () -
Amanda Erin Irene Wall,
1133 Eagles Landing Pkwy,
Stockbridge, GA 30281-5085

Ph: (800) 243-3839

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› Verified 8 days ago


Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281
Phone: 770-213-3366    Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 165 North Park Trail, Stockbridge, GA 30281
Phone: 770-506-1800    Fax: 770-389-5947
Jeanine Clark, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 831 Fairways Ct, Stockbridge, GA 30281
Phone: 239-443-8018    
Shanae Mapp, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 831 Fairways Ct, Stockbridge, GA 30281
Phone: 770-389-1925    
Sandra Thomas,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281
Phone: 770-668-3363    
Mrs. Amanda J Raynor, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281
Phone: 770-507-2212    Fax: 770-507-2213
Tricia Jarrell Morris, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 547 Winter View Way, Stockbridge, GA 30281
Phone: 678-272-0086    Fax: 678-489-6860

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