Mrs Amanda J Raynor, CPNP - Nurse Practitioner in Stockbridge, GA

Mrs Amanda J Raynor, CPNP is a Nurse Practitioner - Pediatrics based in Stockbridge, Georgia. Mrs Amanda J Raynor is licensed to practice in Georgia (license number RN23215) and her current practice location is 1045 Southcrest Drive, Suite 110, Stockbridge, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 507-2212.

NPI number for Mrs Amanda J Raynor is 1043765720 and her current mailing address is 1045 Southcrest Drive, Suite 110, Stockbridge, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043765720.

Contact Information

Mrs Amanda J Raynor, CPNP
1045 Southcrest Drive, Suite 110,
Stockbridge, GA 30281-6113
(770) 507-2212
(770) 507-2213

Map and Direction




Provider's Profile

Full NameMrs Amanda J Raynor
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1045 Southcrest Drive, Stockbridge, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043765720
  • Provider Enumeration Date: 08/23/2016
  • Last Update Date: 08/16/2019

Medical Identifiers

Medical identifiers for Mrs Amanda J Raynor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043765720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN232150 (Georgia)Secondary
363LP0200XNurse Practitioner - Pediatrics RN23215 (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. Mrs Amanda J Raynor 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 AddressPractice Location Address
Mrs Amanda J Raynor, CPNP
1045 Southcrest Drive, Suite 110,
Stockbridge, GA 30281-6113

Ph: (770) 507-2212
Mrs Amanda J Raynor, CPNP
1045 Southcrest Drive, Suite 110,
Stockbridge, GA 30281-6113

Ph: (770) 507-2212

Reviews and Comments


Nurse Practitioner Nurses in Stockbridge, GA

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Ms. Eleasha R Gray, C-FNP
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