AMANDA WEATHERS (NP) – Family Nurse Practitioner, NPI 1063014181

AMANDA WEATHERS (NP) is a healthcare provider. based in Lagrange, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN203648 (GA). The NPI Number for AMANDA WEATHERS (NP) is 1063014181

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA WEATHERS (NP)
NPI
1063014181
Phone
(678) 800-0099
Address
105A Corporate Plaza Dr
Enumeration Date
13 November 2020
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7628420221
Graduation Year
2019 (7 years ago)
PAC ID
2860800836
Group Practice PAC ID
8426050246
Professional Enrollment ID
I20210413001526
Address ID
GA302413584LA1015XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for AMANDA WEATHERS (NP)

  • 105A Corporate Plaza Dr

    LaGrange, GA 302412801

    Phone: (678) 800-0099

    Fax: (770) 252-7513

    Type: Location

  • 1665 HIGHWAY 34 E STE 100

    NEWNAN, GA 302652404

    Phone: (770) 252-7557

    Fax: (770) 252-7513

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $2,356.

Total Amount is formed as General ($2,356) + Research ($0) + Ownership ($0) = $2,356.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boston Scientific Corporation ($1,147).

Total Amount

$2,356

General + Research + Ownership

Payments

66

Total payment records

General Amount

$2,356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2021-04-13

PECOS data refreshed: 2026-06-15

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
I20210413001526INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 30241)

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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: 8426050246View full group profile
NameSpecialtyState
Pain ManagementGA
Nurse PractitionerAL
Nurse PractitionerFL
Nurse PractitionerAL
Nurse PractitionerGA
Interventional Pain Management, AnesthesiologyGA
Pain ManagementCO
Pain Management, Interventional Pain ManagementTX
Pain ManagementGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I use this page to confirm AMANDA WEATHERS (NP)'s NPI?
Yes. AMANDA WEATHERS (NP) is listed with NPI 1063014181 in the public NPI dataset.
Does CMS list AMANDA WEATHERS (NP) as active?
Yes — AMANDA WEATHERS (NP) is active in the NPI listing used on this page.
What is AMANDA WEATHERS (NP) best known for clinically?
Directory data describes AMANDA WEATHERS (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect AMANDA WEATHERS (NP) on a map?
Expect Lagrange, Georgia as a primary anchor for AMANDA WEATHERS (NP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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