AMANDA MIFFLIN (NP) – Wound Care Registered Nurse, NPI 1023770716
Wound Care Registered Nurse
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Medline Industries LP | $37 |
| Vericel Corporation | $22 |
| Baxter Healthcare | $20 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231011002809 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 61 | 16 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30060)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Vascular Surgery | TN | |
| Physician Assistant | GA | |
| Vascular Surgery, General Surgery | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Vascular Surgery, Undersea And Hyperbaric Medicine | GA | |
| Nurse Practitioner | GA | |
| Vascular Surgery | GA | |
| Vascular Surgery | GA |
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