Miss Amanda Vallen Head, CPNP is a
Nurse Practitioner - Pediatrics physician based in Covington, Georgia. Miss Amanda Vallen Head is licensed to practice in Georgia (license number RN181771) and her current practice location is 5211 Highway 278 Ne, Covington, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 787-7444.
NPI number for Miss Amanda Vallen Head is 1629537634 and her current mailing address is 2041 Burning Bush Ln, Conyers, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629537634.
Physician's Profile
| Full Name | Miss Amanda Vallen Head |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 5211 Highway 278 Ne, Covington, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629537634
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 04/19/2022
Medical Identifiers
Medical identifiers for Miss Amanda Vallen Head such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629537634 | NPI | - | NPPES |
| RN181771 | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | RN102177 (Georgia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | RN181771 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Amanda Vallen Head is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Amanda Vallen Head, CPNP
2041 Burning Bush Ln,
Conyers, GA 30094-1120
Ph: (678) 735-0524 | Miss Amanda Vallen Head, CPNP
5211 Highway 278 Ne,
Covington, GA 30014-2671
Ph: (770) 787-7444 |
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