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AMANDA RUBY NETTLES PA-C
NPI 1245075449
Physician Assistant in Oxford, NC

Active since June 28, 2024PECOS EnrolledAccepts Medicare Assignment
1614 WILLIAMSBORO ST, OXFORD, NC 27565(919) 339-4077 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Nov 11, 2024, Jun 28, 2024 (3 updates tracked since 2024).

About Amanda Ruby Nettles Pa-c NPPES

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

AMANDA RUBY NETTLES PA-C (NPI 1245075449) is an individual physician assistant in Oxford, North Carolina and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245075449
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA RUBY NETTLESCredential: PA-C
Location Address1614 WILLIAMSBORO STOxford, NC 27565-5016
Mailing Address1614 Williamsboro StOxford, NC 27565-5016
Phone(919) 339-4077
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 28, 2024
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1245075449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1614 WILLIAMSBORO ST, Oxford, NC 27565
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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 Ruby Nettles Pa-c 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 ID3779006333
PECOS Enrollment IDI20250325001828
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27565 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

CHAMPION HEART AND VASCULAR CENTER, OXFORD PLLC
Internal Medicine (Cardiovascular Disease)
1614 WILLIAMSBORO ST
OXFORD, NC 27565
Granville County (919) 339-4077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Nettles's NPI number?

The NPI number for Amanda Nettles is 1245075449. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Amanda Nettles located?

Amanda Nettles practices at 1614 Williamsboro St, Oxford, NC 27565. The listed phone number is (919) 339-4077.

What is Amanda Nettles's specialty?

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

Is Amanda Nettles enrolled in Medicare?

Yes. Amanda Nettles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Nettles was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.