MS. AMANDA ELLEN BERRY (MSN, RN, ACNP) – Acute Care Nurse Practitioner, NPI 1083651079

MS. AMANDA ELLEN BERRY (MSN, RN, ACNP) is a healthcare provider. based in Smyrna, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, ACNP. They hold a License No. RN 141398 NP (GA). The NPI Number for MS. AMANDA ELLEN BERRY (MSN, RN, ACNP) is 1083651079

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMANDA ELLEN BERRY (MSN, RN, ACNP)
NPI
1083651079
Phone
(404) 502-2787
Address
2245 FORT ST SE
Enumeration Date
31 May 2006
Last Update Date
27 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709245095
Graduation Year
2000 (26 years ago)
PAC ID
6305849290
Group Practice PAC ID
9739189838
Professional Enrollment ID
I20060815000142
Address ID
GA301158018CA460XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

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Provider Addresses for MS. AMANDA ELLEN BERRY (MSN, RN, ACNP)

  • 2245 FORT ST SE

    SMYRNA, GA 300809262

    Phone: (404) 502-2787

    Type: Mailing

  • Emory University Hospital Midtown, 550, Peachtree Street Northeast, Atlanta, Fulton County, Georgia, 30308, United States

    ATLANTA, GA 303082208

    Phone: (404) 502-2787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,413.

Total Amount is formed as General ($1,413) + Research ($0) + Ownership ($0) = $1,413.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Abbott Laboratories ($316).

Total Amount

$1,413

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,413

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

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: 2006-08-15

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
I20060815000142INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes341162$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes146136$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10679$0
99239Hospital discharge day management, more than 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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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: 9739189838View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyGA
-GA
Internal MedicineGA
Interventional Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Interventional Cardiology, Cardiovascular Disease (Cardiology)GA
Physician AssistantGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerGA
Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

What is MS. AMANDA ELLEN BERRY (MSN, RN, ACNP)'s NPI number?
MS. AMANDA ELLEN BERRY (MSN, RN, ACNP)'s NPI is 1083651079 — the number used across U.S. healthcare to identify this provider.
Is MS. AMANDA ELLEN BERRY (MSN, RN, ACNP) shown as active in public data?
Registry records indicate MS. AMANDA ELLEN BERRY (MSN, RN, ACNP) maintains an active NPI.
How would a patient describe MS. AMANDA ELLEN BERRY (MSN, RN, ACNP)'s focus?
For MS. AMANDA ELLEN BERRY (MSN, RN, ACNP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. AMANDA ELLEN BERRY (MSN, RN, ACNP) associated with Smyrna?
Public fields place MS. AMANDA ELLEN BERRY (MSN, RN, ACNP) around Smyrna, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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