AMANDA MIFFLIN (NP) – Wound Care Registered Nurse, NPI 1023770716

AMANDA MIFFLIN (NP) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN-NP176767 (GA). The NPI Number for AMANDA MIFFLIN (NP) is 1023770716

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MIFFLIN (NP)
NPI
1023770716
Phone
(770) 423-0595
Address
61 Whitcher St NE Ste 2100
Enumeration Date
10 October 2021
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704230595
Graduation Year
2023 (3 years ago)
PAC ID
3173978186
Group Practice PAC ID
6709862212
Professional Enrollment ID
I20231011002809
Address ID
GA300601179MA61XXXNEXX401

Contacts

Secure Messaging
amanda.mifflin@wellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMANDA MIFFLIN (NP)

  • 61 Whitcher St NE Ste 2100

    Marietta, GA 300601179

    Phone: (770) 423-0595

    Fax: (678) 391-5055

    Type: Location

  • 3950 AUSTELL RD

    AUSTELL, GA 301061121

    Phone:

    Type: Mailing

  • PO BOX 1200

    PLEASANT GROVE, UT 840621200

    Phone: (800) 640-3451

    Type: Mailing

  • 2480 WINDY HILL RD SE STE 405

    MARIETTA, GA 300678658

    Phone: (478) 200-8815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Medline Industries LP ($37).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231011002809INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes6116$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709862212View full group profile
NameSpecialtyState
Physician AssistantGA
Vascular SurgeryTN
Physician AssistantGA
Vascular Surgery, General SurgeryGA
Physician AssistantGA
Nurse PractitionerGA
Vascular Surgery, Undersea And Hyperbaric MedicineGA
Nurse PractitionerGA
Vascular SurgeryGA
Vascular SurgeryGA

Reviews

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Frequently asked questions

Can I verify AMANDA MIFFLIN (NP) with an NPI only?
You can start verification with NPI 1023770716 for AMANDA MIFFLIN (NP), then check state licensing separately.
Is AMANDA MIFFLIN (NP) listed as active for patients and plans?
The listing shows AMANDA MIFFLIN (NP) as active in the NPI system.
What taxonomy line describes AMANDA MIFFLIN (NP)?
For research purposes, treat AMANDA MIFFLIN (NP) as Wound Care Registered Nurse in this dataset. Clinical services aligned with this taxonomy classification.
Where is AMANDA MIFFLIN (NP) based?
AMANDA MIFFLIN (NP) is tied to Marietta, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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