AMANDA MICHELLE OUTLY PA
NPI 1003298969
Physician Assistant in Marietta, GA

Q: What is Amanda Outly's NPI number?

The NPI number for Amanda Outly is 1003298969. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Q: What is Amanda Outly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Outly was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2015PECOS EnrolledAccepts Medicare Assignment

61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060(770) 422-2326(770) 422-7231 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Jan 17, 2019, Sep 5, 2018 (3 updates tracked since 2018).

On this page

About Amanda Michelle Outly Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MICHELLE OUTLY PA (NPI 1003298969) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (13002) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003298969

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA MICHELLE OUTLYCredential: PA

Location Address61 WHITCHER ST NE STE 3110Marietta, GA 30060-1179

Mailing Address61 Whitcher St Ne Ste 3110Marietta, GA 30060-1179 · (770) 422-2326 · Fax (770) 422-7231

Phone(770) 422-2326

Fax(770) 422-7231

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 26, 2015

Last NPPES UpdateApril 7, 20263 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1003298969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in GA · 13002✔ Licensed in FL · PA9110768

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

61 WHITCHER ST NE STE 3110, Marietta, GA 30060

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Secondary Practice Locations 3

Location 12001 E. Highway 20, Family Medicine DepartmentNiceville, FL 32578-8826 · Phone (850) 897-6600 · Fax (850) 897-0623

Location 21005 Mar Walt Drive, Immediate Care DepartmentFort Walton Beach, FL 32547-6707 · Phone (850) 863-8219 · Fax (850) 863-8249

Location 35992 Berryhill Rd Ste 302Milton, FL 32570-1017 · Phone (850) 416-4620 · Fax (850) 623-3541

Other Identifiers 2

OtherN3KG2FL · Bcbsfl

Medicaid022418500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Michelle Outly Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254697956

PECOS Enrollment IDI20250409002975

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

77 services75 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMREEN FAROOQUI MD

Psychiatry & Neurology (Neurology)