AMANDA SULLIVAN BAHLER APRN
NPI 1245785013
Nurse Practitioner - Acute Care in Fayetteville, GA

Q: What is Amanda Bahler's NPI number?

The NPI number for Amanda Bahler is 1245785013. It was assigned to this individual provider in the NPPES registry on August 22, 2016. The provider is also known as Amanda Pegeen Sullivan.

Q: What is Amanda Bahler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bahler was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 August 22, 2016PECOS Enrolled

105 CARNEGIE PL STE 103, FAYETTEVILLE, GA 30214(770) 716-7999(770) 716-8444 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 9, 2024, Aug 22, 2016 (2 updates tracked since 2016).

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About Amanda Sullivan Bahler Aprn NPPES

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

AMANDA SULLIVAN BAHLER APRN (NPI 1245785013) is an individual acute care provider in Fayetteville, Georgia, licensed in Connecticut (6612) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245785013

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameAMANDA SULLIVAN BAHLERCredential: APRN

Location Address105 CARNEGIE PL STE 103Fayetteville, GA 30214-5900

Mailing Address80 Seymour StreetHartford, CT 06102-5037 · (860) 545-5000

Phone(770) 716-7999

Fax(770) 716-8444

Sole ProprietorNo

Enumeration DateAugust 22, 2016

Last NPPES UpdateMay 9, 20242 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1245785013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CT · 6612

Also ListedNurse PractitionerTaxonomy 363L00000X · License 6612 (CT)

105 CARNEGIE PL STE 103, Fayetteville, GA 30214

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Other Names 1

Former Name (1)Amanda Pegeen Sullivan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Sullivan Bahler Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Amanda Bahler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Medical Group, P.C.

39 mi

Family Medicine

3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022

Reassigned Medicare billing, Georgia enrollment
240 clinicians in this Medicare group

NPI 1235296054 (770) 442-1911

Transtreme, LLC

682 mi

Family

3135 PROSPECT AVE
Kansas City, MO 64128

Reassigned Medicare billing, Florida and New York enrollments
5 clinicians in this Medicare group

NPI 1003290453 (816) 209-1237

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

56 services56 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

32 services32 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

32 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services14 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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 9

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

POONAM RAMANI MD

Internal Medicine