MRS. AMANDA RALPH (APRN) – Nurse Practitioner, NPI 1073935896
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. AMANDA RALPH (APRN)
191 WILLOW POND WAY
BRUNSWICK, GA 315259203
Phone: (912) 605-4655
Type: Mailing
3221 GLYNN AVE
BRUNSWICK, GA 315204851
Phone: (912) 466-9111
Type: Location
1507 Alice St
Waycross, GA 315014530
Phone: (912) 590-0973
Type: Location
5191 FIRST COAST TECH PKWY FL 3
JACKSONVILLE, FL 322240609
Phone: (904) 223-3321
Type: Mailing
3408 TROUT ST
BRUNSWICK, GA 315203622
Phone: (912) 466-9111
Fax: (912) 466-0366
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,663.
Total Amount is formed as General ($1,663) + Research ($0) + Ownership ($0) = $1,663.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($1,050).
Total Amount
$1,663
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,050 |
| SI-BONE, INC. | $171 |
| ABBVIE INC. | $155 |
| PAINTEQ LLC | $124 |
| SCILEX PHARMACEUTICALS INC. | $67 |
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: 2014-03-06
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 |
|---|---|---|---|---|
| I20140306000954 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 863 | 266 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 460 | 172 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 230 | 114 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 196 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 76 | $0 |
Insurance plans in this area (ZIP 31525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| Interventional Pain Management, Anesthesiology | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Pain Management, Anesthesiology, Interventional Pain Management | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Pain Management, Interventional Pain Management, Physical Medicine And Rehabilitation | GA | |
| Physician Assistant | FL |
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