Amanda Gayle Petty, APRN - Medicare Nurse Practitioner in Waycross, GA

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Amanda Gayle Petty, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Waycross, Georgia. Her current practice location is 3620 Harris Rd, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 287-4856.

Amanda Gayle Petty is licensed to practice in Georgia (license number RN222648) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174301386.

Contact Information

Amanda Gayle Petty, APRN
3620 Harris Rd,
Waycross, GA 31503-0311
(912) 287-4856
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Gayle Petty
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location3620 Harris Rd, Waycross, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174301386
  • Provider Enumeration Date: 09/19/2023
  • Last Update Date: 09/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557711272
  • Enrollment ID: I20231221000829

Medical Identifiers

Medical identifiers for Amanda Gayle Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174301386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care RN222648 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Gayle Petty allows following entities to bill medicare on her behalf.
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049

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. Amanda Gayle Petty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Gayle Petty, APRN
156 Elizabeth St,
Folkston, GA 31537-2926

Ph: (912) 390-9537		Amanda Gayle Petty, APRN
3620 Harris Rd,
Waycross, GA 31503-0311

Ph: (912) 287-4856

Reviews and Comments


Nurse Practitioner Nurses in Waycross, GA

Barbara D Pittman, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    Fax: 912-548-0071
Robert Scott Jacobs, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 403a Lister St, Waycross, GA 31501
Phone: 912-283-4422    Fax: 912-283-4866
Mr. James Aaron Houser, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1206 Alice St, Waycross, GA 31501
Phone: 912-285-1140    Fax: 912-285-1125
Dawn Lynn Driggers, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1710 1/2 Alice St, Waycross, GA 31501
Phone: 912-614-3768    
Kala Hodges, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 409 Uvalda St, Waycross, GA 31501
Phone: 229-391-3500    
Ms. Andrea M Deloach, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 Knight Ave, Waycross, GA 31501
Phone: 912-283-9423    Fax: 912-283-2946
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.